HomeMy WebLinkAbout30456-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30918 Date: 05/13/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1855 ROCKY POINT RD EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 3 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 21, 2004 pursuant to which
Building Permit No_ 30456-Z dated JUNE 29, 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 ABOVE GROUND SWIMMING POOL WITH DECK IN THE REQUIRED REAR
YARD AS APPLIED FOR.
The certificate is issued to BURRIS J JESTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 0489 08/21/04 '
PLUMBERS CERTIFICATION DATED N/A
tho zed Si nature
Rev. 1/81
I
Form No.6
TORN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 M
APPLICATION FOR CERTIFICATE OF OCCUPANCY L_ A 'L
,. trFaT
This application must be filled in by typewriter or ink and submitted to the Building Department wi
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 2i 10 of 10,6 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, Corrunercial $15.00
Date. Aer6 25, 2cct
New Construction: Poop Old or Pre-existing Building: (check one)
r
Location of Property: 1,665 [zoe�- yl Y R I�udl . etQ-qy} Mos 1(�)V j
House No. Street Hamlet
Owner or Owners of Property: Ejtk 1 n J . JQE4ek,
Suffolk County Tax Nlap No 1000, Section Block Lot
Subdivision Filed Map. Lot:
Permit No.�U`{ 5(O `Z Date of Permit. Applicant:
Health Dept. Appro%al: _ Underwriters Approval:
Planimig Board Approval:
Request for: I eniporary Certificate Final Certificate: _ (check one)
Fee Submitted: S
ll•1 h td
Appy ant Signature
e0 3 0
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. 30456 Z Date JUNE 29, 2004
Permission is hereby granted to :
BURRIS J JESTER
1855 ROCKY POINT RD
EAST MARION,NY 11939
for
CONSTRUCTION OF AN ABOVE GROUND SWIMMING POOL WITH DECK IN THE
REQUIRED REAR YARD, FENCED TO CODE
at premises located at 1855 ROCKY POINT RD EAST MARION
County Tax Map No. 473889 Section 030 Block 0003 Lot No. 008
pursuant to application dated JUNE 21, 2004 and approved by the
Building Inspector to expire on DECEMBER 29, 2005 .
Fee $ 196 . 80
Authorized Signature
ORIGINAL
Rev. 5/8/02
SUFFOLK BUREAU or
E L L C r R I C 4 L
1 r, ; P E C i �D R S n c
40 Nottingham Drive Middle Island N.Y. 11953
Telephone: 1 631 495 8136 ■ Fax: 1 631 980 6455 ■ Email: SBEI1@hotmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: R.C. Electric Corp.PP P
Rough In Inspection Date: 8/21/04 Final Inspection Date: 8/21/04
Application Nn: 0489 Certificate N°: 0489
Suffolk County Tax Map N°: Building Permit N°: 30456
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical
equipment and/or work described below and installed by the Applicant named above, and located at the
premise of:
L Owner: Jester
Address: 1855 Rocky Point Rd, East Marion, NY 11939
Address of Inspection Site: 1855 Rocky Point Rd, East Marion, NY 11939
j
F X Residential Indoors Basement Service Only Hot Tub
Commercial Outdoors 1" floor X Pool Garage
New Renovation 2nd floor Attic Addition
Inventory
Service 10 Duplex Receptacles Ceiling Fixtures HID Fixtures
Service 30 1 GFCI Receptacles Wall Fixtures Smoke Detectors
Main Panel 1 Single Receptacles Recessed Fixtures CO Detectors
Sub-Panel Range Receptacles Fluorescent Fixtures 1 Pumps
Transformer Appliances Dryer Receptacles Emergency Fix.
Disconnects 1 Switches Twist Lock Exit Fixtures
Heat Hot Water A/C Cond A/C Blower
1 Time Clocks GFCI Breakers TVSS
I Other Equipment:
The electrical work and/or equipment described above were inspected and appear to be in compliance
L with local, state and national electrical code requirements and this office.
Applicant: R.C. Electric Corp. License N°: 1610-ME
i
Inspected By: Gene rdi Certificate Date: 8/22/04
Signature: ' �� l L�
30ysZ2 -
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE Cir INSPECTOR 67?
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1,NSOLATION
[ ] FRAMING [4]FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:_T `�
Atn W .`t6 C�
L- � ' �_- �� �._ ;`'fig✓ ,�-- L
DATEINSPECTOR ;�
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET X55 VILLAGE DIST. SUB. LOT
i--�; uorts S, SPsI-er ask A�o,n� s� 1c��� on Z 1 ast 1�lC�rc �neccl ;
ACR. REMAR S
z o —L IZo37 8� -Sev n parson {S er ysoo(
TYPE OF BLD.
z 0 �
PROP. CLAS
CC�fvt�- 1'� Ariorl I ZOO
LAND IMP. TOTAL DATE
�o o c� 3ao O
o a
t oeetv 5500 'l Zoo I c� z 7 no ,
Z0 A3o ) (� Coomo 2 27
I
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
U
-� TOTAL
r COLOR
{
z
i W 6 TRIM
In
30-3-8 10/00
Bldg. 2 c 249 3Z, qg jZ Foundation ro Bath Z Dinette
FULL
Extension 3oK *0` 120 o t Basementsee L Floors Kit.
Extension Ext. Walls Q\,r4l_ck-dP Interior Finish S L.R.
Extension Fire Place — Heat �(� D.R.
Patio Woodstove BR. 3
Porch Dormer Fin. B.
Deck t0 x ta- Wo Attic
Breezeway Rooms 1st Floor
Garage X 2 3 �� ( 2 Y (Q 33
Driveway Rooms 2nd Floor
27
O.B.-
Pool \*SS - 1200
r
,
r .
FIELD INSPECTION REPORT DATE COMMENTS
b
FOUNDATION(1ST)
a
--------------------------------------
�C
FOUNDATION(2ND) m
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ROUGH FRAMING&
PLUMBING _
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INSULATION PER N.Y.
STATE ENERGY CODE
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n
FINAL e v�i
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ADDITIONAL COMMENTS
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TORN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUT DIN:, DEPARTMENT Do you ha%e or need the following,before applying'?
TOW) HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Buildine Plans_
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
vti«s. northfork.net/Southold/ PERMIT NO. 3U f 3] Check
Septic Form__
N.Y.S.D.E.C.
/ Trustees_
Examined /�/-2 - 100 Contact:
Approvedd4 `777 '0 0 If Mail to:_
Disapproved a'c 1 L
Phone: 4_1
Expirationol W.21 , 20ar— Building Inspector
2 ' APPLICATION FOR BUILDING PERMIT ''ee
Date /1l�y ZQ _, 20
INSTRUCTIONS
a. This application MUST be completely tilled 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 cotmnenced within 12 months after the date of
issuance or has not been completed within 18 months from such da'e. 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 montlu. Tnereaner, a new permit shall oe 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
autAJJ#V#MATELYmses land in building for necessary inspections.
!NCLOSE U ON COMPLETIONOL TO OCCUPANCY OCCUPANCY OR
rBEFO�RE WATER' if
USE IS UNLAWFUL (Signature of applicant or name, a corporation)
iA�DERwRRERSCERnFIC11TE WITHOUT CERTIFICATE (855 koe ky Polm f kd . F. Ady iof?
REOUIRED OF OCCUPANCY (Mailing address of applicant)
State whether applicant is owner, lessee agent architect, engineer, general contractor, electrician, plumber or builder
lessee.
SHALL
0 W o e t- MEET THE REQUIREMENTS OF1W APPROVED AS NOTED
OF NEW YORK STATE. DATE G %,,�.8 1 SZ Z::
Name of owner of premises &c r i- i s J . J e s f e r
(As on the tax roll or latest
If applicant is a corporation, signature of duly authorized officer ' SUILDIN .. PARTMENT AT
785.1, :2 8 AM ,4 PM FOR THE
Name and title of corporate officer WING SP :TIONS:
( � ) 1.1. FOUNDAi - TWO REWIRED
FOR 1 ^'1t cU CC. CRETE
Builders License No. 2. ROUGh 'RAV" T pt 11D1NG
Plumbers License No. 3. INSUL' jN..—
Electricians License No. 4. FINAL - -)NS TION MLaT
Other Trade's License No. P' COAs --` rOR C.C.
ALL CONSTF Jul f"''.L MEET THE
1. Location of land on which pr posed work will be done: REGUIREME' OFTPc CODES OF NEW
pp / '�Y��R�I( STATE IOT PONSIBLE FOR
d M
/CGC1�y 01/i f:d
eta ( *W' CTION ERRORS
House Number Street Hamlet
mty Tax Map No. 1000 Section C ',>O Block 3 •� liot�,"„
vision Filed Map No. 11
,
z
P't
(Name)
,�n
2. State existing use and occupancy of premises and intended use and occupancy of proposed constructiot
a. Existing use and occupancy re S I a e rrf a i `'7O me- of - O[4- r
b. Intended use and occupancy rt C re a1 l�I l - o Y {6? rvi 11
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other WorkDO 1- ab. Q rou, r?��
(Descrip ton)
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 ,Z,
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
�
7. Dimensions of existing structures, if any: Front (DRear 61 -f Depth 3 a. ?J
Height Number of Stories I
Dimensions of same structure with alterations or additions: Front Sa my, RearyQfru-
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
�/
9. Size of lot: Front /40 5 UO Rear �q . T7 Depth 337 fC(O
10. Date of Purchase 31210 Name of Former Owner �i a f(Q r A Ssoa larte:;
11. Zone or use district in which premises are situated l t700
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOV/
13. Will lot be re-graded? YES_NO ✓Will excess fill be removed from premises? YES NO_
14. names of owner of premises_ Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO r t
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BFB REQUIRED. ( a l
b. Is this property within 300 feet of a tidal wetland? * YES; ' ..NO /1_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. V
16. Provide survey, to scale, with accurate foundatior%tWai} fisfartpes to property lines.
-TV
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on-survey.
STATE OF NEW YORK)
COUNTVO ' J3: in- .lA
io W00
J es e l/ being duly sworn, deposes and says that (s)he is the applicant
poividuat s'tgding contract) above named,
(S)He is•the
,{-ce• (Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed rue said work and to make and file this application;
that all statements contained in thisjapplipation are true to the best of his knowledge and belief; and that the work will be
performed in the stammer set forth ig the application filed therewith.
S'A'QPm to before me t1o. y `
avofat p20 O-1
Notary Pt)is I re of Applicant
PENNY BEDELL
Notary Public State of New York
No.01$ 6099317
Qu~in k Cw*
Commissim Expires Sept.29,1:2 QO
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82EAOMCHASE
WOODBURY,NY 11797
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Jester
1855 Rocky Point Rd @ y
E. Marion, NY
,
JUN 2 8
4-X4- CCA. POST
(.60)
i
% 2- NAWROM �� 2.00'
2'X4' OUFR16GERS
•`r—
i r SAME SPACIK
4.33' i� 5-S6' All ARWRO
i
2"X4' JOISTS 16- O.C.
2'X4' READER
2'Xt' Bax BEAN
2"X6' GLWER \ \\ `• steps
5/4'16" ROOD DECKDiG
4" x 4" CG POST 3/3"x3-1/2" log
strews
2'X6' BOX BEAM �
w/2"x6' girder 2-2'X$ GIRDER 2'X6' JOISTS 16' OC.
3/3'x3-1/2- log
/ scram
30" GATE N/ STEPS RISERS
ARE NO MORE THAN 3-1/4'
Beachwood °''e- Page:
.,,.,� es, z000
Builders Seale: 0
SensVzAt'lWG SEGTk13 �{�+
NO-r•
Jester
1855 Rocky Point Rd `'
E. Marion, NY •a,
X.R*Y JAFFE,P.E.
82 EAGLE CNASE
WOODBURY,NY 11797
5/4" x 5" WOOD DECKING
GLUE & SCREW DOwro
CS20 STRAPPNC EACH JOIST
1
ORDER
(2) 1/2' GALV. CARRAGE
BOLTS EACH POST
Ask T/0 GRADE
GALV POST ANCHOR
MODEL • ABU44
12' DIA P.C. PER FOOTNG I� ••
MR 3'-0' BELOW GRADE . •{ .
TO BEAR ON VRGri SOI.
i
B/0 FOOTNG
NDD00 CONSTRUCTION
CONNECTCRS TO BE BY 'Sb 3SON
STRCNG TE' OR EOUAL.
DECK DESIGN FOR 120 MPH WINDS
qos
Jester
1855 Rocky Point Rd
E. Marion, NY
wALKAROUND PATIO DECK
FRAhIING 5EC!I0rI FRAMING 5E!TION
4 vert. railing d
2x2 balliste� 2 or 4'
spocingw/ 2x4 rails
3 4-3� DECKING
3/8'7[3 v2 ,
LAG SCREW POOL
274' COPING
OUTRIGGER 274" CLEAT
2'X6" 5CKEWEO TO 2'7X6' 80x
GIRDER ' POOL W/ TEK SELF
Zx4 heoder TAPPING 2xC Cr2DE2
SCREWS 6o�—Ea
474" CCA .60 POST
POOL 15UTTRE55 '
4'X4" CCA .60 P05T
s �
8 X8 coaruJG 8„
X C.d`Y.2F"E caaTW(
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Jester "•
1855 Rocky Point Rd
E. Marion, NY . J
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Applicant/ Date.
Owners Name: Reviewed:
Architect/ Date
Engineer: cwt Submitted:
SCTM #:
District: 1.000 Section: 30 Block: -3 Lot:
Project Q _ ,{� Subdivision
Location: ® �: -- _ '-(_ Name:
Sin&le& separate Required
certification: (Yes f No) �--
y�� Req. ' Req.
Zoning Dis(rict:-Iv-V ILO(size: Actual: (U(Coverage e I
1 ( g "" Proposed
Req. Req- I
11 ront Yard Proposal: d and _(6 Proposed: ���f , j�
I iRear Yard >L= I roposed� l
Project Description:
A.GENCUERMITS er
�ZUIRED FOR REVIEW N.A. NO YESmg .
N-UndLea
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: