HomeMy WebLinkAbout30984-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building .Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30805 Date: 03/08/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 710 LITTLE NECK RD CUTCHOGUE
. (HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 97 Block 7 Lot 26.5
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 4, 2005 pursuant to which
Building Permit No. 30984-Z dated MARCH 4, 2005
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 A & DAWN SMITH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ H 065175 08/02/99
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
• Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
,. TOWN HALL
765=1802 N (U i[
. APPLICATION FOR CERTIFICATE OF OCCU 1,tLi This application must be filled in by typewriter or ink and submitted to the Building MAR 7 ?005
Depit
%LD"" DEP g'
A. For new building or new use: 'C_`,' �10�..SCUTNOL� —
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 forin).
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.
S. 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.
New Construction: Old or Pre-existing Building: (check one)
Location of Property: 3q lit 75LC W&Zk RP 64tTcj 0
House No. Street Hamlet
Owner or Owners of Property: 5Sm%[�j A.
Suffolk County Tax Map No 1000, Section 7 Block Lot aka
Subdivision Filed Map. Lot:
Permit No. 0 a Date of Permit.` bS Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
ej C 0 R/0 4p4
plicant gnature
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. 30984 Z Date MARCH 4 , 2005
Permission is hereby granted to:
STEPHEN A & DAWN SMITH
CUTCHOGUE,NY 11935
for
CONSTRUCT AN INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED
FOR. THIS PERMIT REPLACES BP25754 .
at premises located at 710 LITTLE NECK RD CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0007 Lot No. 026 . 005
pursuant to application dated MARCH 4, 2005 and approved by the
Building Inspector to expire on SEPTEMBER 4 , 2006 .
Fee $ 150 . 00
Authorized Signature
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. 25754 -Z Date MAY 27, 1999
Permission is hereby granted to:
STEPHEN A & DAWN SMITH
710 LITTLE NECK RD.
CUTCHOGUE,NY 11935
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL WITH FRENCE TO CODE IN
REQUIRED REAR YARD AS APPLIED FOR.
at -,premises located at 710 LITTLE NECK RD CUTCHOGUE
County Tax Map No. 473889 Section 097 Block 0007 Lot No. 026 . 005
pursuant to application dated APRIL 21 1999 and approved by the
, Building Inspector.
Fee $ 150 . 00
Authori ed Signature
ORIGINAL
Rev. 2/19/98
CEL.D—rNSPECTION REPORT DATE CON NTS `
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UNTI,�
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [� FINAL CIPOOL)
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR
lam,
THE NEW YORK 'BOARD OF FIRE UNDERWRITERS PAGE 1
SJ7G55�' BUREAU OF ELECTRICITY
40 FULTON STREET,NEW YORK, NY 10038
Date AUGUST 0"I,1999 Application No. on file 18668499/99 H 065175
THJS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
STEPIMN A. SHITH, 710 LITTLE; NECK ROAD, CUTC'HGGUE;, NY
in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on JULY 23,1990, and found to be in compliance with the National Electrical Code.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INC
ANDESCENTFLUORESCENT OTHER AMT. K.W: AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPSI TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 20
SERVICE DISCONNECT NO.OF S E R V I C E
METER N0.OF CCCOND: -A.W.G. - - A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP., 10 2W 10 3W 3.0 3W 30 4W PER 0 OF CC.CONM �NO.OF HI-LEG OFHI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS
MIMING POOL-'
PMELBUAPOS11-3 CIR. 125
*(SWIMING POOL) This certificate
covers compliance at the date of
inspection only. Because of unusual
environments it, is advisable to
Have frequent test/and or repairs �
Trade by a qualified person,. I
L
*_< Continued on Page 2 >>-
GENERAL MANAGER
Per j" /
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
rnPY Fr1R RI III rllNr I)FPAPTMFNT TRIC C0PY r)F CFRTIFICATF MI IRT NOT RF AI TFRFn IN ANY MANNER_
THE NEW YORK BOARD 'OF 'FIRE UNDERWRITERS PAGE 2
8076559 BUREAU OF ELECTRICITY
40FULTON STREET, NEW YORK, NY 10038
Date AUGUST 02,1999 Application No. on file 18668499/99 xT 065175
TEAS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on•the above application number is in the premises of
STEPHEN A. SMITH, 710 LITTLE NECK ROAD, CUTCHOOUE, NY
in thefollowing location; ❑ Basement ❑ 1st Fl. '❑ 2nd Fl: OUT Section Block Lot
was examined on JULY 23,1999 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES I COOKING DECKS OVENS DISH WASHERS EXHAUST FANS.
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. I K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT.1 TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS
AMi. K.W. OIL H.P. GAS H.P, AML NO: SYSTEMS
A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMi, H.P. NO.OF FEET' AMT. WATTS
i
SERVICE DISCONNECT NO.OF S E R V I C, E
METER NO OF CC COND. A:W.G A.'W.G. A.W.G,
.AMT. AMP. TYPE EQUIP. 0 2W (?f 3W 3 0$W 30 4W -PER 0 OFCC.A.D. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
KEVIN 311ITH � L L
81 7gIASryICpdREEt
LINDENH-URST jay, 11757 GENERAL MANAGER
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
nnPv FnR RI NI nmr., nFPARTMF=KIT THIR rnPv nF CFRTIPI(:ATF MI IST NnT RF AI TFRFr) IN ANY MANNER.
t 2' WORK AREA ;
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m 8' COPING
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F o SEE COPING
A �-- C SAFETY FLOAT LAYOUT SHEETS
. ,/-SAFETY
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E BRACENG DETAIL DETAIL
NAX. BOARD
LENGTH-L
WALL
I - --BOARO OVERHANG HEIGHT
!.
4 0�
TABLE II
_ - SEE NOTE 3 POOL DIMENSIONS*
J -+` TY�II TBYPE II TYPE4III
r VINYL LINER D JA 16=0" 18=0' 20'-0'TABLE I 32LO' 3G,0' 40-0'
E G H PANELS REQUIRED PER SIDE 35=9' 40=3' as=9
D 7'-6' 11=6' 13'-0'
SECTION A-A PANEL SIZE 4'G' 4'-6' 5'-0'
POOL SIZE 4' B' F 710" 910' 10=0'
VLIDTH - 2 - G 6'0' G-0'DIAGONAL4EARTH 16'X_321ENGTH - 4 - H 14=0' 14'0' 15'6'
BRACE: ? WALL PANEL WIDTH - - 2 I 8'0' 81-0' 8'-6'
44 l_a_X36 LENGTH - 4 .J 4-8' 4'-8' 5=2'
K 3--l' Rol
3' I I'HORIZONTAL WALL PANEL 2O�X4O� IFNDGTFI IL 8=0' 10=0'
BRACE r40'
1CEMENT CORFELIERSLEPAONOT1. `4O[NO O`rs:A EACR =T CNT PAD WIH A KINIKUM Or 1 CUBIC
Fval' or Lro!7cR£TE.2. POUR A 10' X 1�' (OR COKPARABLE) CONCRETE RING AT ':HZ 2-STAKING BED WALL PANEL BASE Or Ar WALL AROUND TRE ENTIRE POOL.BARS—'-
7. rINISR THE. POOL BO:-OM WITH A MINIMUM Or 2' COMPACTLII
SI.`7D OR A VER•_'CULITE AND CEM-"T MIX. J 1
BRACING DETAIL COZNEZ UETA IL
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pr c. zo, l 976 '
Com. 1977
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New `lbla�c STA:'8 Lc. AVo.�24a3
nBOARD OF HEALTH . . . .. .. . . . . . . . .
FORM
[. No. 1 3 SETS OF PLANS . . . .
119 �� TOWN OF SOUTHOLD SURVEY • . . . . . . . . . . . . . .
APR
BUILDING DEPARTMENT CHECK . .. . ... . . .. . . . . . .. . . . . . . .
TOWN HALL SEPTIC FORM . . ... . . . . . . ... . . . . .
TOWN 0 30U HOLD
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY:
CALL . . 1 . .�� • •.-
1 a_(° 19�� 3 D 9 07 MAIL TO:Exanimd... // ... '/ . . . . . . . . .... . . .. . . . .
Approved....5L.� , 19 T.Z Permit No. ..f2,7`f T
Disapproved a/c .................................. ...................................
.......................................... . .........
(Building .to )
APPLICATION FOR BUILDING PERMIT pp.
Date ... . . . ... 19.1 .
INSTRUCTIONS
a. Phis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector ui
3 sets of plans, accurate plot plan to scale. Fee according'to schedule.
b. Plot plan stoaing location of lot and of buildings on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of
this application.
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
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 whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATION IS HERESY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buildk-w. Zone Ordinance of the Town of Southold, Suffolk Canty, New York, and other applicable Laws, Ordinances-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, horsing code, and
reguldtions, and to admit authorizedjinspectors on premrseslandFin building}for ssary inspections.
_3"p—
" SclMME6Z �3cTIVc�I
`^ Qv`............................................
Sgnatuie of applicant, or name, if a corporation)
. :::s;r. .;. r +.;;.�..ta�r `fro b; �d c q r ''9" "°i� • � t".`�.I tW
y��� i'i2J"i .el:.� �, l��;r i'.��.'nv U F.c�si-a'o�a �.. ...) .f.. ..
: i•,t!!u Xi1 b :3sv'ti��. i "; :i-•-,�Y. <(Mali. /address of applicant) 1
� �
F JH M
�� i„t✓+
State whether_,applycant 3 sm s ,, agent, architect, engineer, general contractor, electrician, plumber or builds:
�f?.�. .�.l•21�.�L'..o: �;'�;34? r:�`•. .............. _. .. .,:: �: .......................................
s'Q?l1P.J %:tR1 i" ,ar.it .P#',4i11
Name of owner of
pre�ises ' -.S:T .
................................... :S � I;BJA 2 b `'rpT(aGt !fttax rollorlaeLsdee
� £ -
.S{. �w � mi ^fir} f i 0, ^1
If applicants " rporation;Ksgnature^,ofduly`authorizedofficer:
!?............
,o
(Nam and title of corporate officer)
Builders License No. .........................
Plumbers License No. .........................
Electricians License No.
Other Trade's License No �'�`
. .... ..... --7
1. Location of land on which proposed work will be done....7L P.... .. ..2:�....................
?!Z�? L
... 1.:�..L. ...lvice.z-1�...r�:?�.............. � .c� 4aU.�" ..................................
House Number Street Hamlet
Canty Thg Map No. 1000 . Section .. ..1.......... Block ......7........ Lot ...... (0.............
Subdivision .................................... Filed Map-No. ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
(-} �. �W t;Z�. ISG A
a. F4cisting use and occupancy .... .. ... "'f � '1 ..Jai ..........
b. Intended use and occupancy .. .................. . N. ...Q s A$b-N%i o..............
ti
3. Nature of work (check which. applicable): New
pp ): Building .......... Addition .......... Alteration- s �-
zz
Repair ............ R moval ........... Demolition ............ Other Work C,ta1;t MINC x.93)
1,:.5c)
(Descriptio ~
a. Estimated Cost \J..�............. fee ........................................
...fit:_!� ,.
(to be paid on filing this application) .
5. If dkaelling, number of dwelling units ............ Number of dwelling units on each floor ............
Ifgarage number of cars ......................................
i. 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 .................
Sleight ......................... Number of Stories ......................
Dimensions of same structure with alterations or additions: Front ............... Rear ...............
Depth .................... Height .................... Number of Stories ...............
3. Dimensions of entire new construction: Front ................ Rear ............... Depth ....v..........
Height ......................... Number of Stories .....................
�. Size of lot: Front .................... Rear .................... Depth ....................
10. Date of Purchase ..................... Name of Former Owner ........................................
II. Zane or use district in which premises are situated ...............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ..............
13. Will lot be regraded .....0 Q.......... Will excess fill be removed from premises: YES NO
14. Names of Owner of premises S7EN .SM: .�`�:....... Address l c?.t:�. � .!�►�:C_1`..... Phone No. ..............
Name of Architect .................................... Address ................. Phase No.
Name of Contractor S cJM M 4 .. 4l�ll.�:�'.ls.. .. Address CP..ey � .� J No.
15. Is this property within 300 feet of a tidal wetland? * M .......... N0 ....1.�...
*IF YES, SOUnM TOM TialSIM PERNIlT MAY BE WqRM.
PLOT DIAGRAM
Locate clearly'and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
roam property lines. Give street and block number or description according to deed, and show street names and indicate
Whether interior or corner lot.
"IMMEDIATELY" APPROVED AS NOTED
MCLOSE POOL MK�pCNDE DATE: BP.
` . o2S_7S347
BEFORE"WATER'• FEE: ��®5.- BY:
NOTIFY BUILDING DEPART ENT AT
755-1802 9 AM TO 4 PM FOR THE
UNDERWRITERS CERTIFICATE FOLLOWING INSPECTIONS:
REQUIRED FOR
. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
�a3.
2. ROUGH - FRAMING & PLUMBING
CCUPANCY OR 4. FINAL4TION- CONSTRUCTION MUST
USE IS UNLAWFUL BE COMPLETE FOR ALL CONSTRUCT ONCS ALL MEET
WITHOUT CERTIFICATE THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
Frim or td &SOF OCCUPANCY CODES. NOT RESPONSIBLE FOR
l YOM, ORCONSSTRUCTI N ER ORS
OIINIY Or ....................... & _ & _
.............................. ..................being duly sworn, deposes and says that he is the applicant
[lane of individual signing contract)
Bove named,
eis the ........... . ..........................................................................
(Contractor, agent, corporate officer,.etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and.belief.; and
hat the work will be performed in the manner set forth in the application filed therewith.
worn to before me this n
.....aJ........ ay of .4^:�?S.. 19. �...
. .. S !
Notary Public ...rC.::1JL1....................................
(Signature of Applicant)
ONDAM.9011"
ANO fl1�O ft"of tbwwk
Clualffled M Suffolk Coin
Term Expires March 8,20