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HomeMy WebLinkAbout30587-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-330900 Date: 05/05/05 THIS CERTIFIES that the building INGROUDID SWIMMING POOL Location of Property: 57908 MAIN RD SOUTHOLD (HOUSE 110. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 66 Block 2 Lot 2 .2 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 20, 2004 pursuant to which Building Permit No. 30587-Z dated AUGUST 2.1, 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 AS APPLIED FOR. The certificate is issued to RUSSELL & JULIANNE B.ARSTEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 92268C 09/23/04 PLUMBERS CERTIFICATION DATED N/A L /7 n thor zed Signature Re:.r. 1/81 -- — r(S h : Bonn No.6 „ 3 I TOWN OF SOUTHOLD -' BUILDING DEPARTMENT --- -- — 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: .k. 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 a 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 I. 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. S Z O S New Construction: ✓ Old or Pre-existing Building:_ (check one) \` / Location of Property: $7 9 08 Mc�.� � 'Qp( . oJN I-mn(cam _ House No.n Street Harslet Owner or Owners of Property: PAL S`yQ L( A SIAL(1CL K Y1 0 Ka V-c� f Suffolk County Tax Map No 1000,Section 4 7 3899 (o!o -2-z Block Lot SubdivisionIgor c( �J,C Filed Map. Lot:_ _ Permit No. -iL)587Z Date of Permit. S12105_ Applicant: 'P_uS S yl sh � 1rGt r)YlP 1'ctr<Jk iL Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ �IA��C�1,bl.4LP Applicant Signature XC Electrical Inspection Certificate Issue Date Electrical Inspection Service,Inc. Application Number 9/23/2004 375 Dunton Avenue 92268C East Patchogue,New York 11772 (631)28641642 Issued To: Mrs. Julianne Karsten Street: 57908 Main Road Village: Southold Zip: 11971 Town: Southold Section: 66 Block:2 Lot: 2.2 Contractor: Ridge Electric Lic.# 1895 Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ® NV Defects ® Pool ❑ 1at Floor ❑ Indoor ❑ Basement ❑ Not Tub ® Residential ❑ Det.Garage ❑ Attic ❑ 2nd Floor R1 Outdoor ❑ Addition ❑ Survey Switches Receptacles F7xtures GFI Heaters A/C Fans 1 special 2 1 Dishwasher WasherlAmps Dryer/Amps Oven Range/Amps Microwaves Furnace oil Gas Circulators Smoke Defector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment -4� L 1 aqua link system/50amp sub panel with 'mer ugo S. urdi President Rough Inspection: i Inspector: Rnal Inspection: 09!2312004 Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be Identified by their credentials. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION i ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY [ ]] nFIRE SAFETY INSPECTION REMARKS: DATE `5 ® i INSPECTOR.,, �" '� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:_�F�� Al IBJ 1(f/�Jw— (),f I Lcc- uji/ �y Ali 7 YD'S/�G �/ �t cii �--r"4— DATE S INSPECTOR 3 D 517 Z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [xJ FINAL Pa 04— [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE — �O — � INSPECTOR Ord D j * 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: bL �1 DATE /',2 INSPECTOR . 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. 30587 Z Date AUGUST 24 , 2004 Permission is hereby granted to : RUSSELL KARSTEN 57980 MAIN RD SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW IN-GROUND SWIMMING POOL AS APPLIED FOR PER DEC AND TRUSTEES at premises located at 57908 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 066 Block 0002 Lot No. 002 . 002 pursuant to application dated AUGUST 20 , 2004 and approved by the Building Inspector to expire on FEBRUARY 24 , 2006 . Fee $ 150 . 00 C Au or ed' S ' n e ORIGINAL Rev. 5/8/02 MAY 9-2882 88 :27 PM N. F. MANAGENT 0 /:21/2991' 05:36 5151=X77-884't 7222688 P. 01 PF£A ANT RAN ESTATES PAGE @G 9RI"WJHN ET AL 631 943 7901 r,05�11 k � Z nserv�ttan JV I ' �tom.MAN �.rrr�t�•�i , Jume 13, 2001 Mr,.C�riee �eut►ra '= 04x 1 138 Sout�ws�°;NY t t 4'f Re. Moos,6ro"lly L6t 03,'r>t 3uCdlvls�ot= dative Doly s 3 fir_ tRtti= i, Dl�#t�,fie Ower W. DeLuca; K i eQed on thr fn4orrdon t� neve sumittod' the Naw'Yo 3tste De'pmrnsnt of. 4 1en+�tl4n 11eb datprmr4t: ronmertial . Theportion of,Your property ' kh i� {q 31:6 WNO + roFtd,: �1 'ped 1rarQ of Ow ;erti fAot 4116" F 94 r F the TI fqm p ! s�l�VYD 1Par� i64-1419 i n r y p►eaee be further ANS ,� �,y�. .,.: no' nGlieve you Ct the rtapOnblbi4tty of'obtalnt�Any nec �rryperrnits:ot�lpp `rn ,r'rwe: Albert J. Krupski, President O�OSQ(�'�� Town Hall James King,Vice-President. %y .. 53095 Route 25 Henry Smith6 P.O. Box 1179 Artie Foster v?= Southold, New York 11971-0959 Ken Poliwoda Vd Telephone (631)765.1892 �l O Fax (631) 765-1366 I BOARD OF TOWN 9PE USTEES TOWN OF SOUTH LD May 17, 2041 I i Mr. Jahn Kowalski I Permits &Drafting United P.O. Box 743 Mattituck, lv'Y 11952 RE: CHARLES DELU A SCTM#1000-6662- .2 Dear Mr, Kowalski: The Southold Town Boa�d of Trustees reviewed the sur ey dated February 2, 2001 and last revised April 27,2001, riddetermined the construction of a single-family dwelling and garage, to be out of the M -un'sdiction under Chapter 97 ofth.e Town Wetland Code. Howevcr, any activity w thin 100' of the Wetland line.would require permits front this office. This determination is no a'determination from any olhe 7 agency. lfyou have any further uestions, please do not hesitate to call. 111111 . gincerety, j i Albert J. Krtipski, Jr.� President,Board ofTru tees AJK:Ims II� I I FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION(1ST) — y FOUNDATION(2ND) -- -- (+1n z ° a ROUGH FRAMING& PLUMBING 7- INSULATION INSULATION PER N.Y. --- STATE ENERGY CODE — 04 0 0 FINAL _ i L i ADDITIONAL COMMENTS � � U 1 O z m v � x z c� a 0 r� b TOWN OF�OUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NVI 1971 4 sets of Building Plans_ TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey __ www. northfork.net/Southold/ PERMIT NO. Check Septic Form _ N.Y.S.D.E.C. t TrusteesExamined ,20 Contact: .approved20 to Mail to: Disapprove Phone: Expiration 2016 Buil 'n nspector 2. Q APPLICATION FOR BUILDING PERMIT Date Cr 200( 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. c. 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 cunnuenced within 12 months after the date of issuance or has not been completed within IS months froth 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,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,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si Lure of applicant or name,if a corporation) 1"110} m)*Roaa� tMai1 ng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises.)_1 bine. 'Kzkf—s IUf (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No Plumbers License No. Electricians License No. Other Trade's License No. 1. Location Q land on wh`��oca(:A twill beAne: — House Number Street �ff Hamlet County Tax Map No. 1000 Section (P Block Lot . SubdivisionFiled Map No. Lot (Name) ?. State existing use and occupancy of premises and its,ten ded use an�occupano, of proposed construction: a. Existing use and occupancy St(lQ, r']md(A LIPII Iro b. Intended use and occu a cy�=j rn(�(11 �l -) 3. Nature of work(check which applicable): New Building Addition Alteration_ Repair Removal Demolition _Other Wor1C5tA1\Ynm\YY a escriptton) 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: *+omttr (�o�bC7 mhh IOt Aaa 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_NOXI 13. Will lot be re-graded? YES_NO—Will excess fill be removed from premises? YES_NO 14. Names of Owner of premisest51i Yxw ( Addres FI oyye No. �tDs 10 Name of Architect[ryru tCll< Address DS TOW, dne No -12.S -SaS$ Name of Contractora.- o0ofe 14'x- Address Phone No. _ 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 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. STATE OF NEW YORK) COUNTY OFSu� SS:I� being duly swom, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, i S)He is the inVl�\`K (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 the work will be performed in the manner set forth in the application filed therewith. a Sven to of re e s 1`1 yof 20 Notary Pu6licU Signature of Applicant CHRISTINE L. DONATO NOTARY PUBLIC,STATE OF NEW YORK No.01006113407 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES JULY 26,2006 POOL WALLS, BOND BEAM, AND FLOOR SHALL BE 12" POOL DECK SHALL BE PAVED WITH MASONRY, OR STEEL REINFORCED GUNITE CONCRETE. GUNITE Io„ WITH 4"OF POURED IN PLACE CONCRETE. CONCRETE SHALL MEET OR EXCEED 4,000 P.5.1. !6"EXPANSION JOINT ' 00 A m N 28 OAY5. STEEL REINFORCING BARS SHALL �_(SEALANT 15 OPTIONAL) CONFORM TO ASTM A015, GRADE W. _\ c 5 . < • a v w 0"X 0"FK05TPROOF CERAMIC TILE WATER LEVEL_0 CENTER OF CERAMIC TILE e. hl, -,';� � • •ii;: . ., + •,•r d L W IN POOL WALLS WITH A WATER DEPTH OF 5'-O"OR LESS, RE-BARS SHALL BE PLACED HORIZONTALLY - s SRO, V� AND VERTICALLY® 12"O.C. •` \ ° t IN POOL WALLS WITH A WATER DEPTH GREATER !x2" ° m���. 1 THAN 5'-O'; ADDITIONAL VERTICAL BARS SHALL BMINIMUM SIZE OF COPING STONE SHALL BE 1 E e / THICK BY 12"WIDE a INSERTED TO CREATE VERTICAL BAR SPACING 0 0" O.C. THESE BARS SHALL START FROM THE TOP OF �2 7" 4"5ANO 13A5E, WHEN NECESSARY TO AID THE WALL AND SHALL BE BENT AT THE BOTTOM TO e' 1. ++ ��� DRAINAGE IN SLOW DRAINING SOIL as t a EXTEND 24"HORIZONTALLY INTO THE FLOOR. ,:• POOL WALLS AND FLOOR SHALL BE T'THICK, AND THE VERTICAL RE-BARS 0 12"O.C. SHALL BE BENT BOND BEAM SHALL BE 10"WIDE X 12"HIGH. AS SHOWN 1N THE 130NO BEAM. 4- #4 BARS SHALL BE SPLICED TO FORM UNLESS OTHERWISE SPECIFIED OR REQUIRED, #3 ' CONTINUOUS REINFORCING WITHIN BOND BEAM BARS SHALL BE TYPICAL NORMAL FLOOR REINFORCING SHALL CONSIST OF INTERIOR FINISH ON GUNITE SHALL BE W'THICK RE-BARS PLACED AT RIGHT ANGLES (DO°) TO EACH c•'o TROWELED-ON "MARBLEOUST" ; OTHER 0 12"O.C. i RADIUS AT INTERSECTION OF GUNITE WALL AND FLOOR VARIES. n =moo, ,••� 1• ix -: CRUSHED STONE, WHEN NECESSARY TO AID ° -• / DRAINAGE IF GROUND WATER 15 ENCOUNTERED IN _ �_ _ter• r t _ . • SLOW DRAINING SOIL a .t ALJ GUNITE POOL SECTION : _' SCALE: 1" = l' - 0" SURVEY OF LOT 3 MINOR 5UBDIV15ION FOR blain load N. GHARLFS DFLUGA SITUATE: SOUTHOLD TOWN: SOUTHOLD �°� SUFFOLK COUNTY NY SURVEYED 0I-06-04 , '� /• PR.OP05ED POOL 08-04-04 /' + 5UFFOLK COUNTY TAX u 1000-66-2-2.2 CERTIFIED TO: Julianne Karsten Russell "korsten Commonwealth Land Title Insurance Company {�� . '�%+•' .' + i + /0T J55, ,'tib ��, '•• �� i �o � / - 4 , \ ' IID, G V 1. + A I , tQU�P� NOTES ■ MONUMENT 0 PIPE .,.��`"�'a r.e°�P'�O,s.. >"we a•.•y s+w�w ,4REA = 81,881 SF OR 1.88 ACRES ---^""' �' � •• ��. w� _ p..w w.w.w w.y.a"m•a ELEVATIONS IF SHOWN REFERENCE NGVD '211 (FEMA FLOOD ZONE LINE REFERENCD TO JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 GRAPHIC SCALE I"= 6 RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF,\\Hp server\d\PROS\01-116J.pm M Odd SITUATE: SOUTHOLp 2 S p �.�e'(�' `25 TOM# SOMNI \ ae,71 SL"COLK C.OMY, NY s� SUFFOLK COUNTY TAX a 1000-bb-2-2.2 �� CERTIFIED TO: s Julianne Karsten Russell Karsten Gommonwealth Land Title Insurance Gompong - � ' •• NOTE5, sJ�t�j i ■ MONUMENT O PIPE aj• AREA = 81,581 Sr OR Ibb ACRES 2 gcgN ELEVATIONS IF SHOWN REFERENCE N6VD 119 FEMA FLOOD ZONE LINE REFERENCED TO GRAPHIC 5GALE i"= 60' /• 0A, "0 `r f " , ova•H'AN� C 3�, 1 \ o� 'p aIt p %S:R C� GSW l III-A M I � �OL --} - —I-tC + - �� - �_ _ � _1 i b� . — n" W N r I —.___._ A , , Lf-Q_o it �ogT ��. {0V AA \e 6-0 int SG F' Ml illi „�A�I 1 . k { a 1 i„i tire•. ,�a ;i t i , I . 8/ f€?4