HomeMy WebLinkAbout30238-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30602 Date: 12/29/04
THIS CERTIFIES that the building ACCESSORY
Location of Property: 4295 VANSTON RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 14 Lot 38
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 12, 2004 pursuant to which
Building Permit No. 30238-Z dated APRIL 13, 2004
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 IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to ROBERT & ELIZABETH BARRATT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2006950 06/11/04
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
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. 30238 Z Date APRIL 13 , 2004
Permission is hereby granted to:
ROBERT BARRATT
4295 VANSTON RD
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 4295 VANSTON RD CUTCHOGUE
County Tax Map No. 473889 Section 111 Block 0014 Lot No. 038
pursuant to application dated APRIL 12 , 2004 and approved by the
Building Inspector to expire on OCTOBER 13 , 2005 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT P O i3o�C 11 7
TOWN HALL
765-1802
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.
C. Fees
1. Certificate of Occupancy-New dwelling$25.00,Additions to 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. 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. l z 2_Z O
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 'y e4NS T D li QSOOT l—+�(� �
House No. Street Hamlet
Owner or Owners of Property: 4;�p F_>EZ.j -t— EZ Z. A 9 E T 1-4 9 A rL(L N7 T
Suffolk County Tax Map No 1000, Section ) j I Block (3 1 L_� Lot 0 3�
Subdivision Filed Map. Lot:
Permit No. �>n-2-3 g?' Z Date of Permit. 04' Applicant: R,09GYLT 9�
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $ :.s 170
Applicant Signature
0- 304�v2
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S BY THIS CERTIFICATE OF COMPLIANCE THE S
S NEW YORK BOARD OF FIRE UNDERWRITERS , S
S
SBUREAU OF ELECTRICITY
5 40 FULTON STREET — NEW YORK, NY 10038 5
5
S CERTIFIES THAT 5
cS S
SUpon the application of upon premises owned by
�5 55
raj C-CAT CO. ROBERT BARRETT S
9280 SOUND AVE. 4295 VANSTON ROAD
SMATTITUCK, NY 11952, CUTCHOGUE, NY 11935 5
5 Located at 5
5 4295 VANSTON ROAD CUTCHOGUE, NY 11935 5
5 Application Number: 2006950 Certificate Number: 2006950 S
5 5
5 Section: Block: Lot: Building Permit: BDC: ns11 �5
5 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at: 5
5 S
5 Basement,Outside,Pool/Spa,
S A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
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
5 5 authority having jurisdiction, and found to be in compliance therewith on the 11th Day of June,2004.
5 Name QTY Rate Ratine Circuit Type
5 Appliances and Accessories 5
5 Pool/Spa Bonding 1 0 5
SWiring and Devices S
SReceptacle 1 0 20 amp Pool/Spa
5 Receptacle 1 0 General Purpose
5 Switch 2 0 General Purpose
5 Fixture 1 0 Pool/Spa S
5 GFCI Circuit Breaker 1 0 20 amp Pool/Spa S
S (Swimming Pool):This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have S
5 frequent test and/or repairs made by a qualified person.
5 5
S 5
5 S
5 5
5 seal
5 5
5 I of I 5
5 55 S
This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated.
5
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET -= -{ . VILLAGE DIST. SUB. LOT
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FORMER OWNER N ; E ACR. wd
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Hr,r '1 W--F. A4 d S W TYPE OF BUILDING
RES SEAS. VL. FARM COMM. -CCB. MCS. Mkt. Value
,
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LAND IMP. TOTAL DATE REMARKS � � �j a�, 5"�- �' le
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yr /, o v. 6Q dQO
40 cLr wr- o1&,,L
Tillable FRONTAGE ON WATER
J Woodland FRONTAGE ON ROAD
MeadowloMd DEPTH \/ a
House Plot BULKHEAD
TMnl
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MENNEN
Walls Wjn"or Finish
Fire Place
Rooms Ist Floor
'" MRS
- - -- -:
�
' Date.
Applicant/ � � Reviewed:
Owners Name:
Architect/
,�. Submitted: 7
Engineer:
SCTM M:
District: I1 000 Section: � Block:
Subdivision
Project e:
Location: � �----
SiII&Ie&separate Required
cerll(IC86011: es I o
( ot overLaProposed
Actual: G
Zoning District: 1I,0l size: _
Req
Req. �
/0
Rey. Side Yard _ �_ Pr osed: {Rear Yard Proposed
(Front Yard Proposed:�_l
Project Description:
a(l�ER_(VIITS Permit
RFOUI OR REVIEW N.A. NO YES
Numb r
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval: /l /
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone: —r
Note
r
t
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ISOLATION
[ ] FRAMING [ FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
[ ] [ ]
REMARKS:
�.� if I ,��-��.,N o� sl ►���,
DATE ° INSPECTOR jar r
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ["A' FINAL CP�b
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPrioN
REMARKS:
DATE ��r�" ��� INSPECTOR�"� ° '' --
FIELD INSPECTION REPORT DATE COMMENTS
0
FOUNDATION(1ST) V
------------------------------------
FOUNDATION(2ND) H�
Z .m
O
ROUGH FRAMING& U`
PLUMBING
- H
INSULATION PER N.Y. r
STATE ENERGY CODE H
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or.% slcd
FINAL 4LL'T
ADDITIONAL COMfJENTS
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TOWN OF SOUTHO>L.D ' BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL A 12 M 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. D )3 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 1:3,200 Contact:
Approved >2017Mail to: I�ZL'C 1-),/)07- ae S L rP
Disapproved a/c
Phone: 12- (\ 3
Expiration f43 201)�L5_
iuil�din�glnspector
APPLICATION FOR BUILDING PERMIT
Date 3200
--�--
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 Town of Southold, Suffolk County,New York, and other applicable Laws, Ordirlances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
"IMMEiA ,.k,_ i
ENCLOSE POOL TO CODE OCCUPANCY OR
UPON COMPLETION gna a of a is t or name corpor ion)
BEFORE"WATER" USE IS UNLAWFUL
+roERwRn scERt � WITHOUT CERTIFIC II rel
REQUIRED OF OCCUPANCY
(Mai�Apa�pdrensslofap�plci'�ca��nt)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, Dam% &bLi=ild r
0U W / DATE: -4-I V-U B.P.8 30�0
?413 Name of owner of premises e2 7-. NOTIFY BUILDING DEPARTMENT AT
FOR To IE
(As on the tax roll or latest d OWING INSPECTIONS:
If applicant is a corporation, signature of duly authorized officer 1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETa
(Name and title of corporate officer) 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
Builders License No. (O 4 r / - ZONE—)( 4. FINAL - CONSTRI -ION MUST
Plumbers License No. BE COMPLETED, 0.
COMPLY Wi
Electricians License No. TER n4�u AL.' ,'ONSTRUCTION SHALL MEET 7►,
Fi nnn DAMAGE M VENTION REQUIRE} FN7� OF THE CODI FN
Other Trade's License No. SOUTHOLD TOWN CODE, YORK S7 fNOT RESP''NS ,:..E >Wi
1. Location o" .d on which proposed work w; e done: DESIGN OR CONSTRUCTiU•J ERRORS.
House Number Street Hamlet
County Tax Map No. 1000 Section Block *,JY v ;Lot
Subdivision Filed Map No. ' Lot
(Name) s u
A _
1
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work 5�,& -4-1 n- cr G Z
(Desc 'ption)
4. Estimated Cost � 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 Rear_ Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear 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-A-
13. Will lot be re-graded? YES�NO Will excess fill be removed from premises? YES NO
14. Names of Owner of premisesRo,9e1Yr A,444477-Address V�4 S 5 G �,., ',l Phone No. ;7-3 'v27 o
Name of Architect Address Phone No
Name of Contractord544-1-9,1, Address Phone No.77-6 S/Z-K3
00r,/"-
15
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *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. Provide survey, to scale, with accurate foundatioU ply aj� distances td probity lines.
17. If elevation at any point on property is at 10 feet or below;must provide topographical X bin survey.
STATE(NEW YORK)
COUNTY OF ,� )
N 'z being duly sworn, deposes and says that(s)he is the applicant
(Name of individua slgnin contract) above named,
i�-
(S)He is the
(co j
acor,Agent, Corporate Officer, etc.)
of said owner,or owners, and is duly authprized to perform or have performq,djhesgiR4 work and to make and file this application;
that all statements contained in this application a,T1K„true.to the best of his knowledge nd belief, and that the work will be
performed in the manner set forth in the application,filed therewith.
Swo to before me this
day of �4eu- , J'�', ";2004__
N t ry Pu is ignatur Appli ant
VALERIE LINDQUIST
Notary Public Ltate Of Now York
je
Qualified In Suffolk Cou
CommkWon Expires Dec 4
N
VANSTON
Rpq �
IRRc^UAR CURVE --- . 3 Q �•
A
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L =°lBO',— ✓ NES a6 tyg
_ 90.5500•
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f o 1T9.63�
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TIE LINE r cS
°5 i j✓ K IRREGULAR CUR'J Z
Z N
Z
C)
v ` o SURVEY OF
o PROPERTY
AT NASSAU POINT
TOWN OF SOUTHOLD
1 _ < SUFFOLK COUNTY, N. Y.
1000- 111- 14 - 38
A
e. .,.
Scale: 1 -
- 40
�q . N '° April 2, 1997
m
Q a /
ELIZ43E,` ,V ——
J.
OFCal
PdFt�
z G►Nr`
� \ ENppGG ANY AL iERATION OR ADDITION TO THIS SURVEY IS A VIOLATION —_ -
I� OF SECTION 7209 OF THE NEW IORK STA%E EDUCATION LAW,
EXCEPT AS PER SECTION 7209-SUBDIVISION Z ALL CERTIFICATIONS = r
o r -IEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF r. i J0. 9 FY B
( SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR '--^
WHOSE SIGNATURE APPEARS HEREON.
co 0.� VEYC' 7, x
JQI r ACDITIONALLI' TO COMPLY WITH SAID LAW THE TERM 'ALTERED BY' (516)
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY P. 0.
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS -INSPECTED-AND Ir30 j'RA C REST
AREA = 46,600 .$ ft. t0 tie line 'BRO';GHT-TO-DATE'ARE NOT/N COMPLIANCE WITH THE LAW.
q SOJTHOLD, N.Y. 11971
I S LAN v IA POOLS BY JOHN J. fYYSOCZANSKI OWNER:
--- SLOP71INSIONS
� NIY LOCK OR BOXED EXTRUSION 108 FISHEL AVENUE, RIVERHEAD, NEW YORK 11901 (516)727-6312RIM LOCK COPINGGRADE
�'otv FOAM BACKING waMAwZED Yx5' TOP PLATE� NNYL UNEN �6- \\� SKIMMERS RETURNS /
�.`
_
MONOLITHIC POURED
I/Y STEEL RODS �pJ CONCRETE WALL
LADDER
TYPICAL POOL PLAN SANG BASEBOTTOM ��
2 FLAIR
��ov i
UNDISTURBED FILTER &
EARTH PUMP
Q
f
WATERLINE
I
I
NOTE: FOR DIMENSIONS SEE
TABLE BELOW '>
m
...........
_
VINYL LINER
...................................... .. .
0 0
N b
' o
............................................. ..'.✓`� I'-Z' TAMPED SMIO BOTTOM o n
�-
- Fi0Flt41AS5 MOLDED , PIECE
TYPICAL CROSS SECTION OPTIONAL STEP
ENCJLSED ,N
• CEMENT
L£G
N.S.P.I. TABLE OF DIMENSIONS
4 4 8 512 17.650 s DIVING�-MM0-T� NOTES:
C OMlK'BOARD---H'B-1R'
ffil 12-6 13-6 1w ONMKi BavaD-A�44'B-,I
10-6 13-6 8 4 4 10 648 20.400 GAL. C-zt 1. 3,500 LB. TEST CONCRETE TO BE USED
12-6 13-6 10 4 4 12 800 25,000 CAL. IN CONTINUOUS POUR.
2. WATER DISPOSAL TO BE LIMITED TO OWNERS
PROPERTY TO SUR LOCAL REGULATIONS.
3. THIS POOL SHALL NOT BE EMPTIED.
4. ALL WOOD TO BE PRESSURE IMPREGNATED
WITH PRESERVATIVE.:
5. WALKS TO BE SMOOTH NON-SKID TYPE.
SLOWED AWAY VROM Tilf PFKTL.