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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 l7 rJ�rJ�r�rJ�r�rncPrJ@Pcrr�nr�rJ�rJ�rJ�rJ�r�rJ�rJ@nrJ�rJ�rJ�cP rn rJ��nrJ�rJ�r�rJ�rJ�r>lrJ�rJ'�rJ�rJrJ�rJ�rJ�r�rJ@n�nrJ'rJ�r1rJ�rJ��ncnc.rrJ�r� o 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 [B d-C3pLL3rL3Frrnr3rL3—rJL3FL3r.rd-L3rC L3rI� r�rr�r�cn rJ r1�r�rJ�rJr>ncP rJrJcn�rt?r�rtJr��rtJ�r�rJ �nrJ�cn�nrJ�rJrJ�rJ� o 3o7S� �- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [FINAL [ ] FIREPLACE & CHIMNEY/[ ]\FIRE SAFETY INSPECTION REMARKS:- L4 ` �j DATE 5-- INSPECTOR ✓�-` z FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION(1ST) — -- -------------------------------------- FOUNDATION (2ND) -- -- r z �jl o ROUGH FRAMING& PLUMBING n INSULATION PER N.Y. STATE ENERGY CODE — FINAL ADDITIONAL COMMENTS 0 z A — � k o as � z x -- Z a v o 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 .� 5 x- Yj C' R. Je f 14 S 0 O v LY +FW.� ry 6J e O t}w O Z O r Zz H > / U 0 ~ > O W � J .O Z NO, ysr.I I �lyfr. n Q 'j% L 21.0 droll N J — 9.2 — 41.0 W � cR.�a ao i 3 cc O 3 yy ' Q u �� e O O 4 [e1Fp i f+1 00 In 8 Z —� n 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.