HomeMy WebLinkAbout28391-Z FORM ISO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30249 Date: 06/22/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 933 NEW SUFFOLK RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No_ 473689 Section 102 Block 6 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 14, 2002 pursuant to which
Building Permit No. 28391-Z dated MAY 15, 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 WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to ALAN C SANTOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 64822 07/19/02
PLUMBERS CERTIFICATION DATED N/A
,,,4 ; z4-�r -
or' ed Signature
Rev. 1/B1
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. 28391 Z Date MAY 15 , 2002
Permission is hereby granted to :
ALAN C SANTOS
2 HARBORVIEW ROAD
PORT WASHINGTON, NY 11050
for
CONSTRUCTION OF AN IN GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 933 NEW SUFFOLK RD CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0006 Lot No_ 024
pursuant to application dated MAY 14 , 2002 and approved by the
Building Inspector to expire on NOVEMBER 15 , 2003 . ---
Fee $ 150 . 00 /
o ized nature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD JON
4
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled 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. Approcat of electrical installation from Board of Fire Undetivriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2'10 of 1°'o lead.
5. Comunercial 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 Planting 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.
'__ A property 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.
Swnruning pool $25.00, accessory building $25.00, Additions to accessory building$25.00, Businesses $50.110.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy- $.25
d. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy- Residential $15 00, C'onunercial $15.00 2
Date. 3
New Construction: ✓ Old or Pre-existing Building: (check one)
Location of Property: _ 3--2-;- eJ rFO L l� �1� �C✓ 00 Z�)
House No. �Street Hantle
Owner or Owners of Property: tR/✓ ` - �Ie�✓ O�' '',,AA
Suffolk County Tax Map No 1000, Section 104 00 _Block_ n • J 0 Loft L —
Subdivision Filed Map._ Lot-.
PetanitNo.jp'?-&3gl- Date of Permit. Applicant 17 Z4 AJ V Sia/MSG&�
Health Dept. Approval _N �7 Underwriters Approval: DN Fr C
Planning Board Approval:
Request for: Temporar} ertiticate Final Certificate _ f/ (check one)
Fee Submitted: $ _
lC'
C pp ' n tgttature
_ - Electrical Inspection Certificate b:
s •
Date Electrical Inspection Service, Inc. Application # `
., 7/19/2002 375 Dunton Avenue 64822
,,.�. East Patchogue, New York 11772
. ? (631)266.6642
r
rr[[ ky
Issued to: Alan Santos
f Street: 933 New Suffolk Road x :(
Village: Cutchogue Zip:11955 Town:Southhold
}'
Section: 102 Block: 6 Lot: 24
H -TX'X
Introduced by: Hank's Electric Inc. (L) Lic.# 2675-E "�
was crammed and found to be in comp/'once with the National Electrical Code NFP.4 70 •„ti
r.s .-
_ ❑ Commercial E]NV Defects Ev] Pool ❑1st Floor Indoor ❑Basement El Hot Tub
U Residential ❑ Det. Garage ❑Attic ❑2nd Floor LJOutdoor Addition ❑Surve
sf=y Switches Receptacles Fixtures GF/ Heaters A/C Fans X
2 2 1 2 = '
sy�w' Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal
);•_ = Furnace Oil Gas Circulator Smoke Detector Bell Transformer _ <
f Meter Amps Phase UG/OH Telephone Television Carbon Monoxide
yd ❑ ❑ `s
Other Equipment: Buildin Permit# x,
- 30A Sub Pane/wire Timer s?
Hugo S. Surdi r�
:per. P 'dent
k <
`? Rough Inspection:
!y. Inspector Areal Angeldlo
r; Final Inspection: 7/16/2002
Inspector: Areal Angelillo
This certificate must not be altered in any manner. Inspectors may be identified by their credentials
TOWN OF SOUTHOLD PROPERTY RECORD CARD INA Li �
vwrvtrc STREET e; VILLAGE DIST. SUB. LOT
Wan rtc-s NewSvf' I Road
FORMER OWNER N E ,-� A,CR.
Rubin #
�z9
04 S W TYPE OF BUILDING
RES. — SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS —
e L t
- I I ( r, CSL
9 -+-/ # -C',.O r c t v _ ,� I �I
. I, i
() /OCA ///00 3 5 opO r D L `
` O V 17 lP a7 l//(U 0 70 1 3c)/q7
-
Tillable ■ —' ,� FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total T
s
71
- =T
Ep
M. Bldg. 2- Foundation Bath
Extension Fxt. Walls Cj Interior Finish �
Emension Fire Place ��
Porch Pool-_ -®Deck Patio Rooms 1 st FloorBreezeway Driveway
-_ Rooms . .
BUILDING ITRAHT EXAMINER ('IIEC'K LIST
[)-\ [ I Iti.�l I D
DATI- RF\ IE1\'LD:
APPLICANT OIQa ., _ � � _- - - - - - - --- DATE Si AMITTED:
SCTNti) DISTRICT: l ( , SEC1ION: BLOCK: 6 , LOT: -211-_
STREET ADDRESS: 933 � Si.«o CITY: SIBDR'ISION: �~o
PROJECT DESCRTPTION:
ESTIMATED PROJECT COST: �w _ ARCHITFC'1 ENGINEER: _ FAST TRACK"! �Yr
SINGLL & SLI'.M:_\ I F ('FR I ll Ih -'+LION-RF(,)1'lRF1).' eo _ NU'FI_.5 —
LOIS 4ii, -1 -I -`J I 1, 1 UI '•.I I I i P,r i.a, i,. -.�i, I,..-�� I'.'IILI.T I. I [ i.i I I• I [ ,rt.1 .1%N.11,11' l -.ii I L ,a i1. 71if i -ero-.ii q
ZONING: DISTRICT: AC- CONFORMING° )1&15
REQ. LOT SIZE: _
f?z AC'T. LOT SIZEj'B62 C oREQ. LOT v. �o . _ACT. LOT CO\'.
REQ. FRONT + _ PROF'. FRONT ,--REQ S1DEa�ACT. SIDE
REQ. REAR_ ,ol PROP. REAR _ -
WATER FRONT" XQ DFSCRIPTION:
PANEL #:/ FLOODZONFj�—' --_
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or&D, (BED #): DTE:_ __ PERNIIT #:R1(i-
TOWN SEPTIC RECEIPT: Y o14v
NEW YORK STATE DEC: PRE-Drc 9/1/75 YES or P�
SOUTHOLD TOWN TRUSTEES: YES org)
TOWN ZONING BOARD APPROVAL YES or
TOWN PLAN. BOARD APPROVAL: YES or _
TOWN HISTORICAL PRE (SPLIA): YES orrr
NYS ENERGY: YES OR 3&
EGRESS (18 H min.? 4 sq total) A VENT (SQ. FT. x 4%) 0_Z4 LIGHT (SQ. FT. x 8%)_
BUILDING PERMITS OPEN/EXP D: BP -Z/ C/o Z-
HAVE PRE CO'S : Y OR N BP -Z / C/o Z-
NOTES:
FEE STRTiCTIrRF_ FOUNDATION: SF
FIRST FLOOR: SF
SE( OND FLOOR: SF
0'11ER: SF IN[T 01HER TOTAL
TO FAL SF f FF I EE FEE
2. ( SF)- ( -SF)----SF X
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
O
REMARKS:
l
DATE �o �� O� INSPECTOR.- `�j
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I�FSULATION
[ ] FRAMING [ ]/FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: C��,z
DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
cA a
FOUNDATION �liTr
S
------ ------ -
FOUNDATION is-ND� � T'
r
z
S
ROUGH FRA-)IIiN'Gi �-
PL Ii MBILM, C
sl
— m
INSULATION PER N.1".
ST_-�.TE E VERG1 CODE
f
l
FIN A-L
ADDTITONAL CONDYIENTS
J
- OO
C
i) m
z
x
y
-- S
y
TOWN OF SOL THOLD BUILDING PERMIT APPLLCATION CHECKLIS
B 1'I L DI N G DE P:\RT'NIENT Do you have or need the following. belorc applcur
To N HALL Board of Health_ — -
SOL!THOI-D. N\ 11971 3 sets of Building Plats_
TEL: (631) 765-1802 Planning Board approval _
FAX: (631) 765-9:+11'_ —
PERMIT NO. Check
Septic Form__
N.1.S.D.E.C.
� Trustees _
E jammed_ —-f�t 'u_ 2 Contac[: -- ---
— - q�
Mail to iAJItM h1r'`16 [.5
- ---
fhsappror ed a c _-1---
1177$
Expiration
mg ctor
I .APPLICATION FOR BUILDING PERDIIT
Date MA`f 1 D __, 20 n,—
INSTRUCTIONS
us apphct,non_M UST be completeh filled in by typewriter or in ink and submitted to the Building hmspccror with
;ets of plan;, accurttc plot plan to scale. Fee according to schedule.
b. Plor plan .h-m in,, lavation of lot and of buildings on premises, relationship to adjoining premises or public streets of
.,real, and %larcm a'.�.
c. The m�ork soy eted by this application nray not be commenced before issuance of Building Permit.
d. Upon aplin-,al of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit
,hall be kept oil the prcnu,es a%ailable for inspection throughout the work.
c. No butldrrl'shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
,.,sues a Certificate of(=occupancy'.
f F%rry hwtiling perm[ shall expire if rhe work authorized has not commenced within 12 months alter the date of
issuance or has not hccn completed within I S months from such date. If no zoning amendments or other regulations affecting the
properii have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for au
addition six nmonths. Thereafter, a new permit shall be required.
APPI.IC'ATU )N IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
fiuilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations. 1br the cou,truction of buildings, additions, or alterations or for removal or demolition as herein described. The
;rpplicant agi cc; io comply rk ith all applicable latch, ordinances, building code, housing code, and regulations, and to adnmi[
rurthorized inspectory on prem ses and in building for necessary inspections.
Si to of applicant or name, if a corporation)
V
1 F,)6 ino&5 -----
(Mailing a,tt�ress of appI "tilt)
X171 T. o25f1 #ioGKY 1'T f 1��117�8
State whether applicant is otti net, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
—__C.ONU J\CTQ(L
ante of owner of premises _-ALA N SA IU TOS
(As on the tax roll or latest deed)
It applicant is a cotToaaicrn. signmature of duly authorized officer
(Name and tide of corporate officer)
Builders License
Plumbers Licensc N,,
Electricians 1_icense NoOther Trade's License No.
1 . Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Nlap No. 1000 Section JC)a- __Block 1,9 Lot �y
Subdivision_ Filed Map No. Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction: -
a. Existing use and occupancy ,5/N1,1F FAf 14,y 99,,51D_&7n_)C c
b. Intended use and occupancy `IADIMMI )6 P-eo L- /(O )t 5,P-
Nature
,P-Nature of work (check which applicable): New Building __Addition _____Alteration_____
Rapair_ Removal Demolition_ Other Workzpur ' 120bL
• i Description)
-1- Estimated Cost�4a. °0 Fee
(To be paid on tiling 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.
Dimensions of existing structures, if any: Front Rea tL 3 Depth_
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
S. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Q. Size of lot: Front Rear Depth _
I0_ Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
l_. Does proposed construction violate any zoning law, ordinance or regulation' YES_ NO
1 1. Will lot be re-graded? YES NO Will excess fill be removed from premises' YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect c=qm6p 1arw) 5 Addresspag1 JEFFr X5o^J Phone No 5P 27- �a3 �
Name of Contractor PFAMbY T �?DDEC116E9_ AddressY 21 T, � Phone No. 7 V ::- $/ o U _
a(V-y OT
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland9 *YES NO
* IF YES- SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Protide survey, to scale, with accurate foundation plan and distances to property lines.
I ?. If elevation at any point on property is at 10 feet or below. must provide topographical data on survev.
STATE OF NF-VV YORK)
SS:
COUNTY OF )
w3Kby 1 _ � ODELrEp— being duly sworn, deposes and says that Whe is the applicant
(Name of individual signing contract) above named.
IS)Heisthe C6A-)71ZACT02
(Contractor. Agent, Corporate Officer, etc-)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application:
that all statements contained in this application are true to the best of his knowledge and belief. and that [he work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of 20
Notan,Public <
Si; at of Applicant
✓ v'
tra hid BIN I
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la".Ia'.a'coac aco ca Q i 1- H TREATED WOOD
rrte Ienuoca[P •If• w PLF,pp'a TE ANCHORED TO CONCRETE PRE UST CONCRETE
O — ,_ `.• 1 COPING
PRE CAST SKIMMERS
COPING RE7URN5
TO FILTER .
Co �• �3.7/g' BARS
B i I� SIO PE SLOPE I o FROM SKIMMERS -4
•� D FILTER.nd PUMP
E _ F� RM TIES
LLL--. O --�` 0 m O I :H TO RETURNS FROM FILTER
\ II uq
p
"' � e TO WASTE
OI E01 n n
ROLLED FOAM o 1 PIPING ARRANGEMENT
BETWEEN LINEFI-.
J VIN7LLINE.? Q JcoLNCRrm750010 --•�{ B T ■'. IC co.c
a.ocS10E OR ENO iS7EP5 OP7IOrvAL PLAN „-., POURED CONCRETE •IOT
FI$ER GLA NOUP9D
SEE TYPICALI 7,iQ^�ui' •c 1 PIECE -
WALL SECTION _
2• 9SAND I=1�
SECTION
•0 f •P� Y 1L�
' - n ' - ....• FORM TIE 13 1 - B'-0• 13•
m
2•- 4 SAXO BUTTDM
24” MAX 7/8" BARS 0 P T 10u&:L } SIT EP . :
SECTION B— B � �1�
��� 2
N _ r_,1/c4nc.FG rbbTror u
GRADE (' I 3 STEPS
.w Heti• .. . . .•, la' -^� G• �_._
G, -a' p' I+. G PLAN AAMC AL=L „
TY PICA L WALL 12'
I I I Iz' r
1�J 12•F•�--�T 19-0
SECTION A— A ( OPTIONAL STEP
TYPE 2.
1E OF NEIy
SIZE I A B C I D E F G OR CAP `+ F
FEET T4, rt rt. rM'4
AL NOTES— §;OP Co CONTRACTOR.-
WALKS TO BE SMOOTH- NON SKID TYPE, SLOPED * a -
AWAY FROM POOL v SWTIY-KING POOLS, INC.
- WATER DISPOSAL SHALL BE LIMITED TO OWNERS I.= _
I6'. 32 16 32 B 00 PROPER" TO SUIT LOCAL REGULATIONS z FOIIT-- 2$A
Ifi • 36 16 ]6 I2 0CD P ; ROCKY POINT, Fan' YOIRK
OFESSIO2O'a 40 20 40 2 4poo
UNDERWRITERS CERTIFICATE
REQUIRED
APP VEDA. NOTED
� `
DATE, 5 B.P.�#�Ff-L
FEE:i 16 BY:SY�_
NOTIFY BUILDING DEPARTMENT AT
795-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2 ROUGH - FRAMING & PLUMBING
& INSULATION
L FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
"I NA M IM IATE LY"
ENCLOSE POOL TO CODE
UPON COWiDLETION
HEFGRF "WATER"