HomeMy WebLinkAbout29756-ZFORiV[ NO- 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~i, ICY
No: Z-30483 Date: 10/04/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 854 BRIDLE k~ CUTCHOGUE
(~OUSE M0.) (STREET) (HAMLET)
County T~ Map No. 473889 Section 102 Block 4 Lot 5.5
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 23, 2003 pursuant to which
Bu/lding permit No. 29756-Z dated SEPTEMBER 23, 2003
was issued, and conforms to all of the requirements of 5he applicRble
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY INGROUI{D SWI~IING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to A/T1HOAVf & LOIS BEI~A3/DO
(0~IER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF ~ALTHA~pRO~rAL N/A
ELECTRICAL CERTIFICA~I~NO. 3973 12/03/03
PLUMBERS CERTIFICATION D/?r~U N/A
_~_ut~orized Signature
Rev_ 1/81
POHM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIDING PERMIT
(THI'S PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PE~T'~O. 29756 Z
Date SEPTEMBER 23, 2003
Permission is hereby granted to:
ANDREW C POHRKOLB
PO BOX 106
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A_N IN-GROUND SWIMMING POOL AS APPLIED FOR
at presses located at 854 BRIDLE LA CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0004 Lot~
pursuant to application dated SEPTEMBER 23, 2~/~ app~ed by th~
Building Inspect°r t° expire on MARCH //2/~3' 2005 ~ /
Fee S 150 00 ' ~~.-~ze~~! ~' /
ORIGINAL
Rev. 5/8/02
This application must be fdled in by typewriter or ink and submitted to the Building Department ;~Sth the following:
For new building or new use:
1. Fina~ sttrvey ~f pr~p~rty with accumte ~cati~n of a~ bui~dings~ pr~perty ~in¢s~ stree~s~ and unusua~ natural ~r
topographic features.
2. Final Approval from Health Dept. of waler supply m~d sewerage-disposal (S-9 form).
3. Approval of electrical irkqtallation fi:om Board of Fire Underwriters.
4. Sworn statement fi:om plumber cmfifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial bttilding, multiple residettces and similar buildings and installations, a certificate
of_Cpd, e C0mpliande ~qm.anc~ect.~r engineer respor~s~le for th~btfilding.
6 Submit Plarming Board Approval of completed siteplan reqm'rements.
For existing buildings (prior tO April 9, 1957) non-conforming uses, or buildings and "ple-exisfing~' land uses:
1_ Accurate survey of property showing all property lines, sffects, building and unusual ~tatu~al or topographic
features.
2. A properly completed application and consent to iuspect signed by the applicant. [fa Certificate of Occupancy is
den/ed, the Building Inspector shall state the reasons therefor in writing to the appheant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming poo1-$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occu~ancy on Pre-existing Building - $100_00
3. Copy of Certificate of'Occupancy - $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Cerfificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction: Old or~Pre-existing Building: (check one)
! . '
O~alerorOwnersofProperty:' {~/od~2 ~'~ ~{-~
H~et
Suffolk County Tax Map No 1000, Section ]O]~F"'~ Block Uc. Lot
Subdivision Filed Map. Lot:
Apphcant:
P~mit No. ~x-~ ~ ..~--~ Date of Permit.
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee S, ubmitted: $
Final Cea-tificate:
(check one)
Applicator ~ganture
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street * Center Moriches, New York 11934 · Tel: 631-878-3500 * Fa_x: 631-878-3764
Application: 3873
Issued to: Bennardo
Address:_ 854 Bridge Lane
Village:
Date: 12/3/03
Cutchogue Introduced By: Avey Electric East
Lie#:5120-E
was examined and approved up to thee above date and was m compliance with the NEC
Switches Re~eptaoles Fixtures G.F I. Heater Sub Pane[
1 2 I 1 1
Oven Carbon
Fans Dishwasher WasherlAmps Dry'er/Amps Range/Amps Monoxide
Smoke Bell
Furnace Oil Gas HeatZenes
Detectors Transform er~
Mater Amps Phase Motors
::)that Equipment: Inground Pool
3ut,Res
Pennit~: 29956-Z
This certificate must not be altered
/n any manner
5
NE'W YORK STATE CODE COMPLIANCE 'CFIF. CKLIST
CI JMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 45 __ Wind Speed: 120MPFI__ Seismic Design Category: B
Weathering: Severe__
Frost Depth: 36" __ Termite/M-If __ Decay: S-M
Design Temp: 11 ___
Ice Shield Underlay: YES __
Flood Hazards:
USE/OCCUPANCY CLASSIFICATION:
HEIGHT/FIRE AREA:
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: ENGINEERED,~RESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
READEPS: Y/N WALL STUDS: YfN
CEILING JOISTS: Y/N FLOOR JOISTS: YfN
LU31BER SPECIES AND GRad)E: YfN
GIRDERS: YfN
ROOF RAFTERS: Y/IN
DESIGN LOAD CALCULATIONS: Y/N
· LIVE: YfN DE.kD: Y/N SNOW: YfN
SEISMIC: YfN XVIND: Y/N
WINDOW AND DOOR SCHEDULE:
MISSLE TEST REQUIREMENTS: Y/N
EGRESS 5.7 S.F.: Y/N
LIGHT 8%: Y/N
VENT 4%: Y/N
N.MLING/CONSTRUCTION SCHEDULE: Y/N
IvLEANS OF EGRESS: Y/N
PLUMBING RISER DIAGRAM: Y/N
LOCATION OF FI1LE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CERT~ICATION: Y/N
ENERGY CALCS: YIN
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] I/I~SULATION
/
FRAMING [v'] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~)1~--
~ocri, a)_4..T~oN O-ST) ,~~
"
..~
.
'~e/,'/~ ~,~ ~.'l<.,
-I
~D~O~ CO~
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T OwN .0 FS O,UTH.O. LD -
~BUILD~ DF~ARTMENT '
T oV~qN ~L :
SOUTHOLD, NY 11971
TEL: (631).,'~ij5-1802
FAX: (631).765-9502
'~ ~,~v~.~o~for!%ne~S outhold/
Approved . ~ J ~_.3) , 20 ]~
Disapproved a c
Expkation k~{ ,20 ~)
BUILDING P,E ~RM~F, ApPL;,CATI~b[.G[~CKLiST
Do yon have or need the fpl~lowhig, before, applying?
Boa~d e f l:fealth
3~,set%ofBmqding PIans ~'-
Plara~g Board
Surve.y_ in[
C eok,. .5. 7
SeptiC,Form
N.Y~_D.E_C.
TNs~es ': -'
Contact:
ENCLOSE POOL TO CODE
UPON CO ~! =LETION
' ]B'.~'_~'WATER" ~ ~'2'"J ~
Bm-lding Inspector
mt r NO. 67i 56:L ,..
APPLICATION FOR BUILDING PERMrr
INSTRUCTIONS
Date
a. This application MUST be completely filled in by typew~;er'or in ink and submitted te 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 buildiugs on premises, relationskip to adjoining premises or pnblic streets or
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
sl~all be kept on the premises available for inspection throug,hout 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 shal/expire if[h? work anthofized has not commenced witkin 12 months after the date of
issuance or has not been completed within 18 months fi-om such date. If no zomg amendments or other regulations affecting the
properO- 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 nexv permit shall be required.
APPLICATION IS HEREBY MADE'to the Building Depar~ent for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Toxxax of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or altera~iohs or for removal or demolition as herein described. The
applicant a~ees to comply with all applicable laws, ordinances, bui!ding code, housing code, and regulations, and to admit
author/zed inspectors on pretuises and in Building for necessary instiecfions.
(Signature of applicant or name, if a corporation)
(Ivlmlmg address of applicant)
State whether apphcant is oxvner, lessee[ agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ---,','~ ~ fO..O,,4 z.~
(As on the tax roll or latest deed)
If applicant is a corporatiorg signatm-e of duly author/zed officer
(Name and title of corporate officer)
Builders License No. /_,?,,,/, ?_/~' ~-
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
Count5' Tax Map No_ 1000 Section
Sub divis ion g:~,O4a~4~ e~,~a2.'x~
(N~rne)
Block
Filed Map No.
2:.. Stat~ existing use.:and:occUpancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ d~-oT~' ~,~ '~:,~/:'-4,~
b. Intended use and occupancTyL.~ ~z~- ~.. '~=o,-~z.,, ,~ oo,~-.~ .,.o-~'-w_w~. ~)~'.~,~'6. 5=~te-
3. Nature of work (check' which applicable): New Buildjng
Repair Removal Demohtion
4. Estimated Cost ~'/~,~ot~oo Fee
5_ If dwell/ng, number of dwelling u~ts ~,~ ~
If garage, number of cars ~ ~ :~,~
";6. ~ business, co~erc~ or ~ed occ~anoy, s~ ~&~re ~d extent o¢ each ~e 0fnse.
Addition Alteration
(Description)
(Th be paid on filing this application)
Nurahgr-~givelling units on each floor
· Rear ~f.3, ~ / Depth ~':5'..~ '
7. Dimensions of existing structures, if anY: Front 4/~
Height ~' Number of Stories
Dimensions of same structure with alterations or additions: Front .::¥,Rear
Depth Height. Number of Stodes ....... -'~ c,
8. Dimensions o f entire ne~v construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front .~Oo~O ' Rear ~,~ ~. g / Depth '~-,YW' '
10. Date of Purchase
Name of Former Owner
l 1. Zone or use district in which, premises are situated
12_ Does proposed construction x4olate any zoning law, ordinance or regulation? YES
NO ~
13. Will lot be re-graded? YES k/ NO__Will excess fill be removed from premises? YES ,~' NO __
14. Names o f. Owner of premis esrO~.,~.a~ w~'-z~*,m:o
Name of Architect
Name of Contractor~=-~ ~a.:~ x-~.
Address ~m~.,?.,~,~- Phone No. ;~-~,'
Address e_,.~'~-~o~-- Phone No
Address '-~o ~ ¢ ~.v-wwer,a-Phone No.
l 5 a_ Is this property within 100 feet of a tidal wetland or a f~eshwater wetland?'*YES NO 3(
* [F YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED_
b. Is this property within 300 feet of a tidal wetland? * YES NO
* E: YES, D.E.C. PE ~RMITS MAY BE REQUIRED.
16. Provide sunrey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
~-'-~,/ff-~ ~.-r_~ ~_/4/7'c4f being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is dui3' authorized to perform or have performed the said work and to make and file this application;
that ail statements contained in th/s application are true to the best of his [mowledge and belief; and that the work will be
performed in the manner set tbrth in the application filed therewith.
Claire L. Clew
· ::~[*.~. Public. Slate o[ New York
No. 01GL4879505
?ualified in Suffolk County
· *=.mission Expires Dec, 8,
Siommture of.Applicant
46 NORTH I:~OAD
HAMPTON BAYS, NEW YORK .;~ _ '
· 1.1946 . . '"~,~'~'~ i
TEL/FAX. (83,1'h/"23qg54' ' ',~'~
tvI_A.RTIN D. HAND.E.S ' . .;
25 '12 0
REINt~IARDT
F~CI~I~, , · ..
SiT[IA '.AT
C'JTCHOGUE
25' 50 '7:~ ·
SCALE: 1" = 50'
LOT AREA: TOTAL- 83,837 SO.F]'. 1.924 ACEES
BULK- 80.190 SQ
TCIWN OF ,~O[JTHOLD
S~JF~OI.K COUNTY. NEW' YORK
S.C.T.M. DI,~T. 1000 SEC.' 1'02 BLK. 04 LOT5.5.
100 425 . tS~ ' .i75 .'~