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
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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
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a
ROUGH FRAMING&
PLUMBING
7-
INSULATION
INSULATION PER N.Y. ---
STATE ENERGY CODE —
04 0 0
FINAL _ i L
i
ADDITIONAL COMMENTS
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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 {�� . '�%+•' .'
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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' /•
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