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HomeMy WebLinkAbout31085-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30916 Date: 05/13/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 8871 OREGON RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 83 Block 1 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26, 2005 pursuant to which Building Permit No. 31085-Z dated APRIL 26, 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 JOHN C & MARGARET G. BIGGANE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 53032C 04/27/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TORN HALL 'c:n 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC'ik! 92 5 I1 i This application must be tilled in by typewriter or ink and submitted to the Building Depart nt_w_iih_thefoywink A. For new building or new use: I. 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. Cotnmercial 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. J—/-7 1,New Construction: Old or Pre-existing Building: (check one) Location of Property: House No. y treet Hamlet Owner or Owners of Property: J Aft, L J ` -L r ie F e Yx— Suffolk County Tax Map No 1000, Section_ Block (1 P P f Lot _ Subdivision Filed Map. Lot: _ Permit No. 0Date of Permit. 117� 1 Applicant: �t << �l�r,qix � Health Dept. Approval: _Underwriters Approval: Planting Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ / Applicant Si ature /40 il, -c. w H Co Z 3o q16 Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 4/27/05 375 Dunton Avenue 53032C East Patchogue, New York 11772 (631)286.6642 Issued To: Mr. Biggane -Abbott Street: 8871 Oregon Road Village: Cutchogue Zip: 11935 Town: Southold Section: Block: Lot: Contractor: Ridge Electric Lic. At 1895 Was examined and found to be in compliance with the National Electrical Code. Commercial ❑ NV Defects X Pool ❑ list Floor Ll Indoor IJ Basement ❑ Hot Tub Residential ❑ Det. Garage E Attic Ll 2nd Floor IJ Outdoor E Addition El Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 2 1 Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Ns Bldg. Permit: 26451 '- Other Equipment _ Sub Panel 125AMP\6-220V " Receptacles\motors "` 1-120V Receptaclesmotors\1-220V 4HP Huge S. Suf t Motor President IW IW Rough Inspection N Inspector: - a' Final Inspection: 06/15/2001 _ Inspector: Quentin Reynolds IW-- This certificate must not be altered in any manner. Inspectors may be identified by their credentials. Ix W 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. 31085 Z Date APRIL 26 , 2005 Permission is hereby granted to: JOHN C & MARGARET G. BIGGANE 168 EUSTON ROAD GARDEN CITY,NY 11530 for CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. (THIS REPLACES BP 429180-Z) at premises located at 8871 OREGON RD CUTCHOGUE County Tax Map No. 473889 Section 083 Block 0001 Lot No. 034 pursuant to application dated APRIL 26, 2005 and approved by the Building Inspector to expire on OCTOBER 26, 2006 . Fee $ 150.00 Aut rized Signature ORIGINAL Rev. 5/8/02 'IEi.D TNSPF.CTTON IW-PORT DATE COMMENTS U -F- - II �- -- -------------- 'OIINDATTON ( IST) -- II -- - I I p • II it I — 1 'OUNDATION (2ND) _ II II u u ii II n O� --- — — ---- ----- -- ----- — — Z rz (OUGII FRAME S II II TIll_._—.___— _ __--_------_------- — PLUNKING p n n 141 D2-- def B A.G�t NSULATION PER N. Y. a_ STATE ENERGY a ii u ------il — .47 — n CODE 11 u II n --- --------- II H II tl I al II II II FINAL III Ili t` ' r II ADDITIONAL COMMENTS: ✓� > r 7 ra ro 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE STY INSPECTION REMARKS: c/ r7 7 " DATE IWI INSPECTOR 310 x S Z 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL (?000 [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: / t�- DATE °2 INSPECTOR`�- is -83-5 -34 TOWN OF SOUTHOLD PROPERTY RECORD CARD �a OWNER STREET -7 1 VILLAGE DIST.1 SUB. LOT FORMER OWNER N E ACR1, 1 . 466n4 . _ S _ W TYPE OF BUILDING RES. SEAS. VL. 313 FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS o -S4 .. 1 ' 4r. ' -.< - c Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH q ' House Plot BULKHEAD Total CC+MANG mMD AACTvlmw Iw.ET SIZE(FT-) D C D E F G AREA ChP f MADDERIL `71N[. 11 c Sn,.rT, GAL• / `A11fDIMTIL SKI AIAER FF UNDERNATER LILHT� V (c Pi19NYvl) (� A A i I ONAIq WAIU i A lj IZ.. 0 O O B PLAN SF-C-f IDN A-A ��•' I'z N M'2 FILTER — 6EN1=.RAL NOTES% �' l HAIR€UM CATV Ir 1• THE DESIGN 15 eA r-D Ot..' A DRANA—E Sc— W/ WATEn L1NF / c IO'/c 51 r GRWti� N0.?gJ� 9hA..L NJT EI IT �_ (' \MTf - WCh'N THE LIIA75 OF THE rt VATON . IF GROJND -� O - =. uNE - w IAIAE R IATEET f ITS WITI+IN I O" FSCO'W GRADE SPca,q� I'IC RETURN TO WLET DEWATERING FIC ILITIE5 WILL BE fIMUIP.EI). W,-V) D DSRJSAL 19 LI0,17Efl TZ 0WOFFIS PIbPEFTY• 2. No SuW-tVRx�C ALLOWED wmtIN 1:o" OF l3)`Z 5k,'s CONT 1 ` [jDr b DEI./A ALL I W'.'., DFALN SHALLP'J END g b'-o"GF DEEP END. 4h4 TILE FAOAYa 3. THE PWtUTAATICALLY APPLIED COKFi E:W ALL N-IDO ID nE IMRFIL WST FINSI. IZ'e IbUNITE� 51IALL 6E 1:4 IAIV W/A lm¢.OF 3'Iz 64L OF R VAwtS ✓' per NATER PER SACK OF GENAfW T. St"SMAu.o.� 4- REINEORCING 154 5MALL BE INTEPdAEDIATE GRAUE- FSdD 25"UP SCHFIAATIC FIPiNG WF%AN(.IAENT 6N Dw FND BILLET STEEL Wf A )KIM. LAA OF 3o PkP, bAIAE7ER5. S. POOL NATER SUPPLY 6Y OWNER• C"ARUEN 105E. LOOL a3 STEEA IN FGPCED 1�7T t, c GOMRACTOR: Tc BE kEi;T FULL D'JRINb FRE-KZWN WEJATH6R . PUTAP SUMII\L.7T ACTNITI LS CAPACITY TO BE SUFFILILNT TC nwry F. IN DEPiN X5-0" >Sb" 44 troURS. R6Rz. 51L1,-720 - 1929 WALL SZCTa4 b-B VERT. Iz"t "e Fob '19 OWNER: VtAlAPR7N BAYS NY 1194-Ln L BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC . . . . . . . . . . . . . . . . . . . . .. . . . . . TEL: 765-11802 TRUSTEES . . . . . . . . . . . . . . . . . . . . . . �QiV�1 CL wv CALL. • •I�6-�-� •l-�� Ermined.................. 20.... 0X7 �-)jMAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.................. .... Permit No. ....... .................................. Disapprovedarc .................................. .................................. ...................................................... �. r 1 ....�...................... R'n _ _ _.—• ,{ (Building Inspector) e - ' .';: I- APPLICATION FOR BUILDING PERMIT JUL I $ as Lr li 1 ©c7 -1 Date_ . _�. �. . . . . . . , 20. . . . ..��JJJ INSTRUCTIONS I a. 'Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector w 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan shoring 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 IEBlY 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 ilding forne inspections. NG'�Svc�rY,ra1Z .... ..->...... ....... 4-e--,-kV l' )5 (Signature of applicant, or name, if a corporation) (Mailing address of�ic �� State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o builder ................................./....,....................�................................................................... Nae of owner of premisesc::........................................... (as on the tax roll orlatest deed) If applicant is a corporation, signature of duly_euthorized.offi. er. ....................P/...2............ (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ......... Other Trade's License No. .. ---2�-5 S 8 CS T............. 1. Location of land on which proposed work will be done..... `1.3...., �J.� ...................... 88. 1.---••.....0(� Q �. �� House Number StreetZ Handet \ Canty Tax Map No. 1000 Section ...L%.p ?..... Block ..0..1......... Lot ...U. .... Subdivision ...................................... Filed Map No. ............... rot ............... (Name) 2. State existing use and occupancy of premises and intended use and �o.-ccc�upan/cy�o^f`proppoose�d�consstr�ucti,/o�n: a. Existing use and occupancy ....�ep�t� .�fir. ....�..�N�.v��.. l)USS..l!`!//Y.��.`.....!�......'.\,,,1.... b. Intended use and occupancy ..,.-1.(a!y�� - ... .�.. -� M,I-`�.el..b{.Q�. .... 3. Riture of work (check which applicable): New Ruilding ......... Addition .......... Alteration . ..... . Repair. ............ Removal DemDI it ion Other Work .5.W.% M fn h.N.G. ......... .........••- -f?... ... ... (Description) 4. Estimated Cost .` ��.�.J........ fee .. .... (to be paid on filing this application) 5. If dwelling, onber of dwelling units ..N.bT.. tkuber of dwelling units on each floor .. . .. . . ..... . . .. If garage, ninber of cars ...N.DT. ......................... \ 6. If business, co nhercial or mixed occupancy, specify nature and extent of each type of use........1 1.�..... .... 7. Dimensions of existing structures, if any: Front................ Rear .............. . Depth .. .... .. ........ Height ......................... WW)er of Stories ...................... Dimensions of sae structure with alterations or additions: Front ............... Rear ...... ... ..... Depth .................... Height .................... tknber of Stories ..... .......... 8. Dimensions of entire new construction: Front ..� .......... Rear . ......... Depth .............. Ileiglxt .... ................ Number of Stori1es ...�.^.............. 9. Size of lot: Front ..\u.S.�1�..... Rear ..1 Y,2 .1...... Deptb ./? .(.'.�...... 10. Date of Purchase ..................... Name of Former Owner ....................................... . 11. Zone or use district in which premises are situated ..11.'.RQ............................. .................. ... 12. Dues proposed construction violate any zoning law, ordinance or regulation: ...�,).U............... 13. Will lot be regraded ... CT.=J.�.`..`....... Will excess fill be removed from premises: YES��f��� 14. Nares of owner of premisesY1'7�1�,�..� .. Address Nene of Architect .................................... Address .............................. Plane No. ............ Nene of Contractor ................................... Address ...............................Phone No. ....... .. ... 15. is this property within 300 feet of a tidal wetland? * YES ..X.. .... ND ... ..... .. *IF Yrs, SOLMIC D 1UWN IX=,S PM-11717 MAY BE W!k7RRM- - PLOT DIAGRAM locate clearly and distinctly all buildings, wthetlner existing or proposed, and indicate all set-bark dimensions From property lines. Give street and block [umber or description according to deed, and show street nares and indicate wlhether interior or corner lot. PP ED AS NOTED _ "IMMEDIATELY" DATE: $ `� B.P. ENCLOSE POOL TO CODE UPON COMPLETION FEE: i BY: BEFORE "WATER" NOTIFY BUILDING ART NT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: OCCUPANCY OR t FOUNDATION - TWO REQUIRED USE IS UNLAWFUL 2. RROOUUGHH - CONCRETE - FFRRAMING & PLUMBING 3.WITHOUT CERTIFICATE 4. FINAL- CONSTRUCTION MUST BE COMPLETE FOR OF OCCUPANCY ALL CONST UCTIONC HALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS SfA'IE Or MW 1TNaC, 5C._ " SS UNDERWRITERS CERTIFICATE cuwry or ...!J.Y. REQUIR`S. ...............being duly sworn, deposes and says that he is the applicanl (N.•ne of individual signing contract) above n med, ` lie is the "..... �:\. ............................. .. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed Lbe said work and to hake and file this: application; that all sLaterents contained in this application are true to the best of his knowledge and tel.ief; and LhaL Lhe cork will be performed in the manner set forth in the application filed therewith. Swam to before me this Q c/ Notary public ...... ... . .... ....... ... M. NotaryPublCc,StateofNeSwYoAc (Sig alure of Applicant) No.4952246,Suffolk County Term Expires Jure 12, SURVEY OF LOT 2 IN O�G A MINOR SUBDIVISION /`SL qND PREPARED FOR HENRY DOMALESKI /g �i• �o, SO(/� CU TCHOGUE, (OREGON) 82� 20 D TOWN OF SOUTHOLD Z H� SUFFOLK COUNTY, N. Y. 5 C.i SURVEYED FOR NORTH BAY PROPERTIES, INC. _ o V 50� _ O 60 -`1%4z4Qr 65 N/F 16 THOMPSON 75 29.4' POURED CON . .2' FOUNDATION 29.4' 31 7 7.J'4.8' LOT 1 VACANT Aiay. Co co B0 a Q) N Q) v PROPOS D �l N TENNIS � COURT / 41. LWI SET LFi—R�—CV-25rr TWAY 55. 17' 00" W S 55. 17' 0"I W 145. 75' 145. 75' I I I I N/F I I--N 37. 33' 40" W TM 1000-083-01-034 DOMALESKI I I 464.26' ELEVATIONS IN 1929 NAVD I I I I ZONED: R-80 I I jj--N 37. 52' 10" W SURVEYED 3 FEB., 2000 I a I 1876.23' SCALE 1"--100' I I AREA = 89,350.066 SF I ~ 1 OR I I 2051 ACRES I I I l_ N 42' 29' 20" W 260. 73' o I I c I I C) GUARANTEED TO Guarcnrees indicated here on shall run I I NORTH BAY PROPERTIES, INC. only to th^ pers-n for whom the survey I L � COVENANT ABSTRACT CO. INC. is rt—, u!cd, and on his behclf to th- I I TOWN OF SOUTHOLD fi t'.� c'rr.-rr,'. C.o'"n_rs ent l nr,'ncy, I I Z Iz� ,.. vsr;i_n-,. hsrcci, and I ` I--N 37' 22' 40" W O t<. .r ;:,-ns.:: of Ii,> le-,n, s it,Jon. I I 476. 75" GL.o:. .ties a,r n:t trcw r:,cln to I I oddilicnal ins,:luti�n: cr s.bsaquent owner I I Z I I tnautherized alteration or addition to thi, I Cu TIE- 525t' ROAD urvc, i=_ a Violation of Section 7209 of R n,a New )ork State Education Law. OREGON SURVEYED BY STANLEY J. ISAKSEN, ✓R. Copies of this survey map net bearing P.O. BOX 294 he Lend Scry?yor, emb^sled sn_al shall NEW SUFFOLK, NY 11956 of Le cc:s:r-gyred to be a valid true 631-734-5837 ,c,y v / AICEN. E AND SU OR NYS Li: . N . 1,4� 0OC868 LOCATE POURED CONCRETE FOUNOAT70N 5 JUNE, 2000 BUILDING I'I�I�MIT l�I�VIEW CHECK LIST Applicant/ Date Owners Name: J � WA (f�(�e �_Q f0\4 1 Reviewed: Architect/ Date Engineer: Submitted: q—I R-O0 SCTM #: District: 1,000 Section: Block: I Lot: Project © n ` I Subdivision Location: O��I ��� ' I(� r' � Name: Single & separate Require certification' (Yes/No) Req. Req. Zoning District: (Lot size: Actual J (Lot coverage Proposed. J Req. Req. Req. [Front Yard Proposed: ] [Side Yard Proposed: ] [Rear Yard Proposed: J Project Description: AGENOLNERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes: