HomeMy WebLinkAbout29184-ZFORM 2,?0. 4
T0~'R'I OF SOUTHOLD
BUILDING DEPAHTMENT
office of the Building Inspector
Town Hall
Soushold, N.Y.
CERTIFICATE OF 0CCUP~4CY
No: Z-30491
Date: 10/08/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8869 OREGON RD
(HOUSE ~IO.) (STREET)
County Tax ~4ap No. 473889 Section 83 Block 1
Su]~division
Filed Map No. Lot No.
CUTCHOGUE
Lot 33
(Hk/VILET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated [~31RCH 4, 2003 pursuant to which
Building Permit NO. 29184 Z dated ~LaJlCH 4, 2003
was issued, and conforms to all of the requiremenss of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY INGROU~ SWIMMING POOL WITH FENICE TO CODE AS APPLIED FOR.
The certificate is issued to JOSE SUQUET
of ~he aforesaid building.
OWNER
SIIFFOLK COUBFI"fDEPART?~RqT OF~{~2kLTH;~PPROV;~L N/A
ELEC~IC_~L CERTIFICJ%TE NO. 2019245 08/20/04
PLI~BERS CERTIFICATION D~£~U3 N/A
Rev. 1/81
FORM NO. 4
TOM! OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z 30492
Date: 10/'08/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8869 OREGON RD
(ROUSE NO.) (STREET)
County Ta~ Map No_ 473889 Section 83 Block 1
Subdivision
Filed Map No. Lot No-
CUTCROGUE
Lot 33
(HA~4LET)
conforms substantially to the Application for Building Permi~ heretofore
filed in this office dated ~.Z~RCH 4, 2003 pursuant to which
Building Permit No. 29184-Z dated 5Q~RCH 4, 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 I~[STALL ACCESSORY HOT TUB AS APPLIED FOR.
The certificate is issued to JOSE SUQUET
of ~he aforesaid building.
(OWNER)
SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL
ELECTRIC3~L CERTIFICATE NO_ 2019245 08/20/04
PLUMBERS CERTIFICATION DATED N/A
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
COMPLETION OF THE WORK AUTHORIZED)
FULL
PERMIT NO. 29184 Z Date MARCH 4, 2003
Permission is hereby granted to:
JOSE SUQUET
22 EAST 82ND STREET
NEW YORK,NY 10028
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR. THIS PERMIT REPLACES BP#26720.
at premises located at 8869 OREGON RD
County Tax Map No. 473889 Section 083 Block
pursuant to application dated MARCH 4, 2003
CUTCHOGUE
0001 Lot No. 033
and approved by the
Building Inspector to expire on SEPTEMBER 4~004.
Fee S 150.00 ~~~~_.~..
ORIGINAL
Rev_ 5/8/02
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. 26720 Z Date AUGUST 17, 2000
Permission is
hereby granted to:
NORTH BAY PROPERTIES
32645 MAIN ROAD
CUTCHOGUE~NY 11935
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO
CODE AS APPLIED FOR.
at premises located at 8869
County Tax Map No. 473889 Section 083
pursuant to application dated JULY
Building Inspector.
OREGON RD CUTCHOGUE
Block 0001 Lot No. 033
18~ 2000 and approved by the
Fee $ 150.00
Auth d Signature
ORIGINAL
Rev. 2/19/98
TOX~,~ OF SOUTItOLD
BUILDING DEPARTMENT
TOWN It&L[
APPLICATION FOR CERTIFICATE OF OCCt~CY ~[p [ 6 ~
r~ appli~at:on mus~ bz filled in by ~ypewfi~er or i~ ~d subn~tted to ~he B~ilding D~a~m~t wi~ the following
A. For new building or new u~e; _..-
Final survey ofpropcrcy with accurate location of all buddings, property lines, streets, and unusual rmtuxal or
topograpkic features.
2. Final Approval froln Health Dept. of warn supply and sewerage-disposal ($ 9 form).
3. Approval ot'electn.;:al i~mtallation fror~ Board of Fire Undc~v.,riters.
4. Sworn stat. cresol from plumber certifying that thc solder u.aed in systeitl contains less than Z/10 of 1% lead.
5. Commercial building, industrial budding, multiple residences and similar bulldlllFs and mstallatinn& a ce~ficalc
of Code Compliance from architect or engineer responsible for the building.
6 gubrn/t Plan~lJng Board Approval of completed site pla~ requl~elnent5.
For existing buildings (prior to April 9, 1957) non-conforming n~e~, or buildhtss and "pr~-existing" land uses:
1. Accurate ~urvey of property showing all property tines, streets, building and unusual natural or topo~aphic
features.
A properly completed application mid consent Io impact signed by the applicant. If a Certificate of Occup~axcy is
denied, the Building In,petter shall state the rcasorm there fei' in writing to the applicant
C, Fees
1. Cv~dficate of Occupancy - New dwelling $25.00, Additiom ~.o 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. C¢~il~Ga(¢ of' Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of O~upm~cy- $25
a. Updated Certificate of Occup~¢y- $50,00
5. Temporscy Certificate of Occupancy- Residential $15.00, C.mmercial $15.00
Date. Sept. 1.3t 2004
New Constructioet_ S,~'imm~-2~-n~ ~o_~ol,OId ox Pre-cxisl[ng B~ilding:
Loeatio0otPropc~ny: 8869 Oregon Rd,, Cutchogue, New York
one)
Owner or Ownero of Prope~-ly: Jose Sucluet
Suffolk County -Fax Map Ne 1000, Section 083
Subdivision
Permit No. 29184
Health Dept. Approval:
Hamlet
Block 01 Lot 033
Piled Map. Lot:
DatcofPer~rdl. 3/4/0_6 _Applicant: Jose Su~uet
Underwritc'rsApproval: Cert. No. 2019245
Pla~'ung Boar~ Approval:
Request £o~: Temporary Certificate
Fee Submitted: $ 25.00
16i~1 Certificate: X (check one)
~ Applimnt Signature
David N. Altman, Esq., Atty.
for the Applicant, Jose Suquet
TOWN OF SOUTItOLD
BUILDING DEPAJt. TMENT
TOWN HALL
765-1a02
APPLICATION FOR CERTIFICATE OF OCCI.~ANCY
This applicatiou must b~ filled in by typew~ iter or Ink and subafitted to the Building Department with tho following'
A. for new building or new uge:
Final au~'ey al'property with accurate Iocalion of all buddings, 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 ofelecth;:al n~tallation from Board of Fire Undcrv,'rhers.
4. Swam statement from plumber certifying that the solder used in system contains less than 2~10 of 1% lead.
5. Commercial building, industrial building, multiple resideuc~'s and similar bmldinfs and mstalla6ons, a certificate
of Code Compliance from architect or engineer responsible £or the building.
6 Submit Plamting Board Approval oieomp[eted site plan reqoisements.
For e~tiating buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exiating" land u~es:
I. Accurate s~rvcy of property showing all property ~ines, streets, building and unusual ~mtural or topo~aphic
features.
2 A properly complemd application mid consent to inspect sio~ed by the applicant. If a Certificate ofOocupancy i~
domed, thc Building Inspector shall state tho reasom therefo; in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additiota to dwelling $25.00, Adterationa to dwelling $25.00,
Swimming pool $25.00, Accessory ~uilding $2~.00, Addition~ to accessory' building $25.00, Busi.nesaes $50.00.
2. Certificate of Occupancy on Pre-exiatiag Building - $100.00
3. Copy ofCerfificat~ ofOc.~upancy -
a. Updated CerHScate of Occupancy- $50,00
5. Temporary Ce~tficutc of Occupancy - Residential $15.00, C.mmereial $15.00
Date. Sept. 13, 2004
New Co~traction: ._(Rot Tub') __ Old or Pre-existi~ Building:
L~cationofgroparty: 8869 Ore$on Rd., Cutchogue, New York
l-louse
Owlet or Owners of Property: Jose suquet
Suffolk Cotmty Tax MapNc 1000, S:ction 083
Subdivision
perrmt No. 29184
Health Dept. Approval:
Plamung Board Approval:
Request for Temporary Certificate _
Fee Submit~efl: $ 25.00
(check one)
Hamlet
Block
Filed Map.
Date ofP~ml. 3/04/O3_~ Applicant:
Uadem,n-it ¢'rs Approval:
Final C~tificate: X
01 Lot 033
Lot:
Jose Suquet
Cert. No. 2019245
(check one)
David N. Altman, Esq., Atty.
for the Applicant, Jose Suquet
ElY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
RAYNOR FRANK L, JOSE SUQUET
1800 HARBOR LN./BOX 1065 8869 OREGON ROAD
CUTCHOGUE, NY 11935, CUTCHOGUE, NY 11935
Located at 8869 OREGON ROAD CUTCHOGUE. NY 11935
Application 2019245 2019245
Number:
Certificate
Number:
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Residential 0-$99 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside. Pool Spa,
A wsual inspection of the premises electrical system, limited to electrical devices and wiring to th(; extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and foundto be in compliance therewith on the 20th Day of Augusu2004.
Name QTY Rate Ra~ Circuit T'~pe
Miscellaneous
as built 1996
and Accessories
Appliances
Time Clock S~ itch I 0
I 0 Gas
Furnace
Pooh Spa Bonding I 0
Wiring and De'vices
Switch 2 0 General Purpose
Receptacle I 0 20 amp Pool Spa
Receptacle I 0 GFC[
Receptacle 1 0 General Purpose
(S',',imnung Pool): Th~s certificate covers compliance at the date of inspection only. Because of unusual enx ironments it is a,J', isable to have
Frequent test andor repairs made b) a qualified person.
An as budt inspection, or'the delineated electrical installauon, detemuned that an obvious hazard is not present and thc installation ~s believed to
be in comformance ~ ith [he apphcable ret'erence standard Cot' the estimated period of construction of the premises ,~ iring system
seal
I et' 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
IrJIrJIrJI -J []
TO
North Bay Properties
32645 Main Road
Cutchogue NY 11935
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
DATE; May29, 2001
For pemfit 1hr Accessory swimmin~ pool
Location of property 8869 Ore~on Road Cutchogue
County Tax Map No. 1000 - Section 83
Subdivision Filed Map #
Please take notice that 3'our pelmit (#26720Z) dated August 17, 2000
at
Block 1 Lot 33
Lot #
Is returned herewith and disapproved on the folloxving grounds accessory swinmmng pool not
pemfitted pursuant to Article XXIlI Section 100-239.4A. 1 which states;
All buildings located on lots adjacent to sounds and upon which there exists a bluffor bank landward
of the shore or beach shall be set back not fewer than one hundred (100) feet from the top of such bluff
or bank
Swimming pool placed within 100 foot buffer required.
AuthofizekiDSignature
BUILDING PERMIT REVIEW CHECK LIST
Applicant]
Ovmers mame.~'e c',
Architecff
Engineer:
SCTM #:
Dis~-ict: 1,000 Section: ~'~ Block:
Lot:
Date
Reviewed:
Date
Submitted:/
Single & separate Reqmrcd
certification: {'Yes / No}
Subdivision
Project Description:
AGENCY PERMITS
REQUIRED FOR REVIEW
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation ???
Flbod Zone:
NO YES
Permit
Number
Notes:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ]~.~ULATION
[ //J" FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
,,~ /
RF,,MARKS.' /'~"; , ~-' .,~,C~--' ,/
./ / ./// / ; ' / ~/" ' .
.. ,.. ~ ~ ~,~ ( ~/~
/
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY [
REMARKS:
[ ] ROUGH PLBG.
[ l_ ~L~ATION
I ,~'FINAL
FIRE SAFETY INSPECTION
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
]FOUNDATION 1ST [ ]ROUGH PLBG.
]FOUNDATIONFRAMiNG 2ND [ ]/~SUL~L~/~_,¢~ ~ ~_~?
] [///] FINA~__~,/
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
INSPECTOR,~~'~~
'IEI,I~ TNSPECTION REPORT DATE
'OIINB[~T ION ([ST)
'OUNDAT I ON (?'ND)
,'OUGIt FILa, HE &
PLtPPfB [NG
[I~ISIILATION PP;R H. Y.
CODE
. / - _ '
FORM NO. I
TOWN OF SOUTUOLD
BUILDING DEPARTMENT
· TOWN HALL
,, SOUTI{OLD, N.Y. 1197 I
TEL: 765-1802
~n~ .................. ~0 .... ~i l~l ~-~
................. , .... NO.
Di sappr~ved a/c ..................................
3 SETS OF PLANS ...............
SURVEY ........................
CItECK .........................
SEPTIC FORH ...................
DEC ...........................
TRUSTEES ......................
NOTIFY' -
CA L
MAIL TO: ...................
(Building Inspector)
INSTRUCTIONS
.~' ~" application mast be ccanpletely filled in by t~c~nriter or in ink arid suhnitted to the l~dlding Inspector
3 s~ts of plans, accurate plot plan to scale. Fee according to schedule.
h_ Plot plan showing locatioo of lot and of buildings on premises, relationship to adjoining pr~nises or [~blic
streets or areas, and giving a detailed description of layoat of property rromt be drm~n on the diagram w]~ich is [mrt of
this application.
c. 'llie ~ork covered by this application my not be ccra~enced before issuance of Building Permit.
d. Upan approval of this application, the Building Inspector will issue a Building Pemit to the applicant. S~Ch
permit shall be kept on the pr~mxises available for ins~tion throughoat the ~ork.
e_ No Duilding shall be c~oapied or used in ~d~ole or in part for any parl~se whatever until a Certificate of
Occupancy shall have been granted by the Building Insl~cror.
APPLICATION IS ~ Mb~E to the Building Department for the issuance of a Building Permit 12~rsuant to the
Building Zone Ordinance of the To~n of S~athold, Suffolk Cctmty, Ne~ York, and other applicable La~s, Ordinm-~es or
Regulations, for the eoo_srruttion of buildings, ~d~t~as or alterations, or for rexroval or domlition, as herein
descrik~d, lhe applicant agrees to ecn~ly with all applicable la~s, ordinances, building code, hoasing cc~le, and
regulations, md to admit anthorized irmpeetors on pr~aises ar~ in building for necessary insl~ctions.
(Signature of applicant, or nam, if a corl~oration)
State ~ther applicant is c~ner, lessee, agent, architect, engineer, ger~ral contrsct~ electrician, phrr~er
(as on rtm tax roil or latest'~dded)
If applicm~t is a,k'O_tTO[a~i~k,~sigua~re of duly antborimxl officer.
(Nme 'and title of corporate officer)
Builders License No ..........................
Plm~ers License lqo ..........................
m whi& ~oposed ~,~rk ~,ill be dose...(~)~--~.O_QI~...Q~.....~.../ .............................
Ic~ation
o~
lar~
1 Ictk~ hlai~ r Street It,~nl e c
~T=~No. ,~ ~ion .... ..0.~..5. .... D~o~ ....O..k ....... ~ ...~..Z...% ....
St~livision ...................................... Filed Hap Ho ................ l~t ...............
2. Stare existing u.se anti oncupar~ of premises and inter.led tme ~ eecupancy of proposed construction:
3. ~nLure of ~ork (d~:~:k ~l~idt applicable): Nc-a I~dlding .......... Nldirion .......... Alteration ..........
l~ir
............. l~al ............. l~lition ............ Other 1~ ~.~a~.~-~.~..
~ripti~) --
(to ~ ~id ~ [iting this n~licati~)
5. I~ ~lling, ~tmr of &lli~ units ~.~... t~r of t~lling traits ~ ea~ ~r ................
~ g.~g~, ~ o~ ~r~ ..... ~.5~ .~ ......................
6. If Nmi~ss, ~,,,~rcial or ~ ~o~, s~ci~ ~ture a~ ~tent of ead~ ~ of u~ ..... ~.~.. ......
7. Di~mnsi~s of ~sti,g st~s, if ~: l~t ................ ~ar ............... ~pcl~ ................
I~i~t ......................... ~r o[ Stories ......................
Bi~si~ of ~ sr~re ~th alterati~s or ~itions: ~nt ............... ~ar ..............
~pth .................... [~iO~t .................... ~n~r o~ Stories ...............
8. Di~mnsi~ of entire ~ ~st~ti~: l~t .-~ .......... ~ar . ~,0 ~p~ ~ ~
I~i0~t .._~ ................ ~r oC Stories .... ~ ...........
,. ,o, .... ..... .....
10. ~te of ~lrd~a~ ..................... ~ of Four ~r--: ......................................
I I. ~ or u~ district in d~id~ prmi~s a~ si=t~ --. ~..-'{-~ ..........
12. ~s pro~t ~t~ti~ violate al~ ~ing 1~, o~i~e or re.latin: ....... ~D ...........
g~ o~ Md]it~t .................................... ~ress .............................. ~ ~ .............
~ of C~tr~tor ................................... ~ress ............................... Rm~ ~ .............
15. Is fids p~rty within ~ [~t of a till ~tla~? ~ ~ -..~ ..... ~ ..........
PI.OT DIAGR~N
[~ate clearly ~ disti~tly all ~ildi~s, ~mflmr ~isti~ or pro~, ~ imitate all ~t-~ dimnslons
f~ pr~r~ liras. Gi~ st~t ~ bl~ ~r or &scripti~ acco~ing to ~, n~ ~ strut ~s ~t J~icate
~mtlmr interior or corner lot.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'qA/ATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APPRO.V.,ED AS NOTED
DATE: ~..~ ~J~c B.P. ~-~,~
FEE: tSt~ BY~
NOTIFY BUILDING B~PARTM'ENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING iNSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. 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
s;['^'Iv, (X~ ta..~ ¥(~'.,~..~_..,1~[_,.~/,~4-.------ SS IIN~ERWRITEES CERTIFICATE
~[~ (~ . ~ .. ~. REQUIRED
(~ of i~ivid~l signing c~tract)
Ik~ is the .................................................................................................
((~tractor, agent, cor~rate officer, etc-)
r~F ~qid ~r or ~rfi, m*l ig duty m~thoriz~l to ~r[o~ or I1~ l~r[o~ the ~kl ~ taxi to ~ke a~l file this
nN)I [cati~,; that a.tt stat~nts c~tai~ in this a~] icati~ are trim Co Um Ims~ of his k~l~
that the ~rk will Im ~rron~l in tl~e ~mn~r ~t [orO~ in the a~l. ieati~ fil~
~m to ~[ore ~ th{s ~
~c~ ~. w,t~,~s -~; 'd ;;';'/,F"~";;' ~; .............
Nota~N~a~Public, State of New ~
~;;~o2246 SUffn k r.
SURVEY OF
LOT 1
IN
A MINOR SUBDIVISION
/,jO~.4,/~/~ PREPARED FOR HENRY DOMALESKI
4, h.z,~, ,S'O~,~' CU TCHOOUE, (OREOON)
2o,, "/~/~) TO WN OF SOU THOLD
SUFFOLKCOUNTY, N.Y.
-' .~FM,,~4908
rq
LOT 1
VACANT
LOT 2
VACANT 80
POURED
FOUNDADON
LOT 11
RESIDENCE
IMPROVED
4~ BY OTHERS
STAKE ' S 55' i,
145. 75'
N/F
DOMALESKI
N 37' 33'
464.28'
I--N 37' 52' 10" W
1876.2,3'
N 42' 29' 20" W
26O. 7,3'
I----N 37' 22' 40" W
476. 75'
OR£O0N
f OAP
1. LOCATE POURED FOUNOADON 5 JUNE, 2000,
TM 1000-083-01-033
ZONED: R-80
SURVEYED 10 FEBURARK 2000
SCALE 1"=100'
AREA = 84,880,843 SF
OR
1.949 ACRES
ELEVA DONS IN 1929 NA VD
GUARANTEED TO
NORTH BAY PROPERDES, INC
COVENANT ABSTRACt CO. INC.
TOI4~I OF SOUTHOLD
SURVEYED BY
STANLEY J, ISAKSEN, JR.
P. 0. BOX 2..°4
NEW ~UFFOLK, NY 11956
6J1-/TJ4C58~5 //
NYS I.?'C. t','O. 4927~
00086 7