HomeMy WebLinkAbout30756-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30930 Date: 05/19/05
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 570 DUCK POND RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 83 Block 4 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 4, 2004 pursuant to which
Building Permit No. 30756-Z dated NOVEMBER 5, 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 IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to JAY P & KAREN QUARTARARO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2037732 12/21/04
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD _
BUILDING DEPARTMENT
TORN HALL i
765-1802
11 i
APPLICATION FOR CERTIFICATE OF OCCUPANCY r
This application must be filled in by typewriter or ink and subtnitted to the Building Department with thAllowing: 1
A. For new building or new use:
1. Final survey of property witli 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 I% 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:
L 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: V (check one)
Location of Property: .576 {7 l7Cfc j PdH ._
House No. Street Hamlet
Owner or Owners of Property: OL &- ray �U) iYeTCJ7�
Suffolk County Tax Map No 1000, Section _Block Lot
Subdivision / _[Filed Map. Lot:
Permit No. Q -7s6 Date of Permit._ �L //"/Apphcanr
Health Dept. Approval: _— Underwriters ApprocaL i �O rj?73
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ t �A
_/ A icaitSi_ iature
co-?- 30q 30
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. 30756 Z Date NOVEMBER 5 , 2004
Permission is hereby granted to :
JAY P QUARTARARO
570 DUCK POND ROAD
CUTCHOGUE,NY 11935
for
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 570 DUCK POND RD CUTCHOGUE
County Tax Map No. 473889 Section 083 Block 0004 Lot No. 016
pursuant to application dated NOVEMBER 4 , 2004 and approved by the
Building Inspector to expire on MAY 5 , 2006 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY
5
5 40 FULTON STREET — NEW YORK, NY 10038 e5
CERTIFIES THAT 5
5 Upon the application of upon premises owned by 5
5 55
5 C-CAT CO. JAY + KAREN QUARTARARO
rj 9280 SOUND AVE. 570 DUCK POND ROAD 5
5 MATTITUCK, NY 11952, CUTCHOGUE, NY 11935 5
C5 5
Located at 570 DUCK POND ROAD CUTCHOGUE, NY 11935
r 5
Application Number: 20377325
c Certificate Number: 2037732 5
Section: Block: Lot: Building Permit: BDC: ns11 r5
5L5+ Described as a Residential0-599square ft. occupancy, wherein the premises electrical system consisting of 5
r5 electrical devices and wiring, described below, located in/on the premises at: 5
Outside, Pool:Spa, 5
5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed 5
herein, was conducted in accordance with the requirements of the applicable code and/or standard
5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5
5 authority having jurisdiction, and found to be in compliance therewith on the 21st Day of December, 2004. 5
5 Name QTY Rate Ratrne Circuit Tt De 5
5 Appliances and Accessories 5
5 Pool Spa Bonding 1 0
5 Wiring and Devices L+
5 Fixture l 0 Pool Spa 5
5 Sw itch 2 0 General Purpose 5
5 Receptacle l 0 20 amp Pon[ Spa 5
5 Receptacle l 0 General Purpose 5
5 Receptacle 1 0 GFC'1 rr,7
5 (Swimming Pooh: This certificate w%ers compliance at the date of inspection only. Because of unusual environments a is advisable to have
5 frequent test and'or repairs made by a qualified person. 5
5 5
5 5
[� seal
�5 I of 1 �5±
e� This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
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3o7S� �-
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [FINAL
[ ] FIREPLACE & CHIMNEY/[ ]\FIRE SAFETY INSPECTION
REMARKS:- L4 `
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DATE 5-- INSPECTOR ✓�-`
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FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(1ST) — --
--------------------------------------
FOUNDATION (2ND) -- -- r
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y.
STATE ENERGY CODE —
FINAL
ADDITIONAL COMMENTS
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TORN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDNN- DIAPARTNIENT Do you have or need the following.before applying'
TOWN HILL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAR: (631) 765-9502 Surey
w«1v. northfork.net/Southold/ PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 111q , 20-4— Contact: / r
Approved /! 20 Mail to l�L/F✓�//} y a
Disapproved a c
Phone:
Expiration 5 S , 24).6
Building Inspector
APPLICATION FOR BUILDING PERMIT
4 Date / G) 7 , 10
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 pertuit
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 commenced within 12 months after the date of
issuance or has not been completed within 18 months from 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 vi[h all applicable laws, ordinances, building c e, housjng c de, an regulations, and to admit
aut;IMMEpeIA7on re s and in building for necessary inspec ' ns.
ENCLOSE POOL TO CODE OCCUPANCY 0 �t t
UPON COMPLETION
BEFORE"WATER• USE IS UNLAWF (Sig a re of appl' in or me, if a corporation)
UNDERWRITERS CERTIFICATE WITHOUT CERT
of appl ANCY '�h � a In /�
"IRED OF OCCUP
State whethe applicant is owner, lessee. agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises 4 F}{2E h� (A A%41B.P.47 e '
(As on the tax roll or latestBY:
If applicant is a corporation, signature of duly iLt lRMMON SHALL NOTIFY BUILDING DEPARTMENT AT
11F° THF F7F111 IIRFtAGNTS OF THE 165.1802 8 AM TO 4 PM FOR THE
(Name and title of corporate officer)CODES NEW YORK STATE. FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
/�6 �/ FOR POURED CONCRETE
Builders License No. 2. ROUGH - FRAMING & PLUMBING
Plumbers License No. 3. INSULATION
Electricians License No. 4. FINAL - CONSTRUCTION MUST
Other Trade's License No. BE COMPLETE -OR C.O.
ALL CONSTRUCTIUN SHALL MEET THE
1. Location of land which pro ose ork will be ne: REQUIREMENTS F HE CO S OF NEW
�2 t � � � Ptl(/SfATF i� RE I E Fid
House Number Street Ham U wntYN01KUu11u1" ERRORS.
County Tax Map No. 1000 Section O Block Lot
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construcVbn:
a. Existing use and occupancy i
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Wo &y/N /" /N6 n
F (Description)
4. Estimated Cost Fee
(To be paid on tiling 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: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
1 l. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NOY,
13. Will lot be re-graded? YESNO Will excess fill be removed from premises? YESY NO
f4.e 'J 4:ZTh494,41e a
14. Names of Owner of premises 0t4XATrP44,kO AddressSt(
70,� e h�3�0ltoneNo. -735/ -Z-9S-
Name of ArchitectAddress Phone No
Name of Contractor�GA#d�i�t s T// Address_dGS/PL Ae,C 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? * YE 4 •+
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.,—
�1s r •l��! tJ,
16. Provide survey, to scale, with accurate foundati( �lI �a �nC'6s rd�friSperty lines.
17. If elevation at any point on property is at 10 feet or belq� , providelMographical data on surwey _
STATE OF NEW YORK)
SS:
COOUN,T,Y/ OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the COAD fV(i7_5/L_
(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.
Swo to before me thi-
day of Y �a+ 2064
Aoa,S P lic i S'gnan e f App 'cant
VALERIE LINDQUIST
Notary Public State Of New York
No. 011_160516211
Qualified In Suffolk CoutttY (p
Commission Expires Dec 4,2tx�s
LOT ARBA - 40, 500 sq.ft. 95- 153
98 - 263
Received
I
uffolk County _ Received
UL 241998
Suffolk County
Of Health Services
UL 2 4 1998
n LOTof 1Nastewater Mgmt. Dept. ealth Services
F2_1 VACANT Office Of water M mt.
(qxa) S.39°00'00"E. 150.00' (q .�
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125.00' 20" drainage easement
/
(423)N 39000'00"W. 150.00'
DUCK POND ROAD o
C,4e-4) (41 e,)
I
VACANT
-19 -1998 FINAL SURVEY
-25- 1998 LOCATED FOUNDATION
-3-98 REVISED PROP. DWELLING NOTE: CESSPOOL AND SEPTIC TANK LOCATION BY OTHERS.
IIL 71"17;n.WN rI:R;Jp1 �r:..1..� :�E SHILL RWI ON_Y TO THE FERSO'. JOBNO.97-269 FILENO.WOODBINE MANOR
,i NLICTURES i0 Loc .'t)"'LR'.'r FCR WHOA'. ME SURVEY Is PRE
•..N,S
RE F a .; et -e PAA ED. AND ON H15 BEHALF To SURVEYED FOR
'D:E AND ui_ :`.�F�i,CL::L'; ibE IIfLE CC.?FANY. 3OVERNMEN
A' LE' LOT N0.16
9RE NCI 1111_ -_J -J r :J :DINC INIT1
.R.:RON G. �'_ 1L1a.,;�•61•!9TC* HE2LON. AND *O
Poo:::, -- � .L ; -e,I;:::=ES OF TF:: LENDING MAP OFWOODBINE MANOR
ADJ.9, dC.n "I� - til.:'r..'.•: G•:AR.LNTEES ARE
OC.bS'1Ii,:;.`.0.;:.'. .L: '.i.'. 1,•.:.: _ E 'ro ADDII.ONa
-i) ,T:,:N; 07 SUbr[QUENT '
SITUATEDAT CUTCHOGUE
n"RAE 4 ? NOT
):? n><n t,,...: a..1,. rad-.,;.,::f ..}II,::�TJE L,AnrD SWVIVOWS TOWN OF SOUTHOLD — - -SUFFOLK COUNTY N.Y
AN:'. u:..(4 L L OR E..i.1055ED SEAL
G
',.'L fdrl r, OOr:�MEWV TO 9F SCALE r = 50' DATE 7 - 23 - 1997
;UARANTEEDO'NlY Y FILED MAP NO. 8239 DATE 12 - 15 - 1986
TAX MAP NO. 1000- 83 - 4 -16 (REF. ONLY) DISK 176
' HAROLD F. TRANCHON JR. P.C.
'I
. - LAND SURVEYOR
'/ ~ 1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
�.• •,�` -
e.
nv' -
In F TRGNr`NDN 'IR �.. ...
(2",
'I] 0489921 516-929-4695
I S LAN v IA POOLS BY JOHN J. f1'YSOCZANSKI OWNER: -- -
SLOPE LINE RIM LOCK OR BOXED EXTRUSKOI 108 FISHEL AVENUE, RIVERHEAD. NEW YORK 11901 (516)727-6312
• RIM LOCK COPING
---- `J _ GRADE ---- ---
NOTE: FOR DIMENSIONS SEE i7 ppLr FOAM BACKING WOLMAMZED YX6 TOP PLATE '
TABLE BELOW
�\ VINYL LINEN SKIMMERS RETURNS
_ MONOUTIYC POURED
I/7 SrmRODS �p`� CONCRETE WALL
LADDER
r
SAND BASE4\`P
TYPICAL POOL PLAN,R
UNDISTURBEDZ
FILTER h
EARTH PUMP
v
WATERLINE
I
I
NOTE: FOR DIMENSIONS SEE bi
TABLE BELOW ",
............... _
�6
VINYL LINER ... o
' T
ry
•� Y-T TAMPED SAND BOTTOM _ n
� 1
I-
rnl I m 3T
I 1 FIBERGLASS MOLDED I PIECE
TYPICAL CROSS SECTION T]NCJISED IN
OPTIONAL STEP
CEMENT
3 nAn
PER t£c
�C A--------
N.S.P.I. TABLE OF DIMENSIONS
SIZE I A B C D E F G H CAPACITY a BDAw-A�atB-i�
16iO32 16 32 8-6 13-6 6 4 4 8 512 17,650 GAL B• DIVIM BOARD-A-ate-IE" NOTES:
16 36 12-6 13-6 6 4 4 6 576 GAL ID'DNMC BOARD-A-4CB-t� 1. 3.500 L.B. TEST CONCRETE TO BE USED
1 36 - - 4 4 20,400 c-sY IN CONTINUOUS POUR.
2. WATER DISPOSAL TO BE LIMITED TO OWNERS
PROPERTY TO SUIT LOCAL REGULATIONS.
3. THIS POOL SHALL NOT BE EMPTIED.
4. ALL WOOD TO BE PRESSURE IMPREGNATED
WITH PRESERVATIVE.:
5. WALKS TO BE SMOOTH NON-SKID TYPE. _.
SLOWED AWAY FROM DIF F"X)L.