HomeMy WebLinkAbout30284-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30965 Date: 06/07/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 13090 SOUNDVIEW AVE SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 54 Block 3 Lot 14 .4
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 29, 2004 pursuant to which
Building Permit No. 30284-Z dated MAY 3, 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 IN THE REQUIRED REAR YARD WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to ROBERTA ROSENBERG
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 6351 05/05/05
PLUMBERS CERTIFICATION DATED N/A
Au horized Signature
Rev. 1/81
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. 30284 Z Date MAY 3 , 2004
Permission is hereby granted to:
ROBERTA ROSENBERG
13090 SOUNDVIEW AVE
SOUTHOLD,NY 11971
for
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 13090 SOUNDVIEW AVE SOUTHOLD
County Tax Map No. 473889 Section 054 Block 0003 Lot No. 014 . 004
pursuant to application dated APRIL 29, 2004 and approved by the
Building Inspector to expire on NOVEMBER 3 , 2005 .
Fee $ 150 . 00
Authorized Signature
ORIGINAL
Rev. 5/8/02
MOO 1
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TORN HALL.
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY I t-- '— --�! •'
This application must be filled in by typewriter or ink and submitted to the Building Departmel�Iwith the folat LI
L
A. For new building or new use: V1. Li
L Final survey of property with accurate location of all buildings, property lines, streetls and-tiArud natitr3!-0s2__—!
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 1°o 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 Planting 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 - S.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00
Date. CIO.dE .5 1, -2 00S
New Construction: Old or Pre-existing Building: (check one)
Location of Property: /,30?0 AVE Soy DL 1)
House No. Street Hanilet
Owner or Owners of Property: DliEeTA �SEN,e3t,c'G
Suffolk County Tax Map No 1000, Section Y73O5f Block 0003 Lot O/#• 00f
Subdivision Filed Map. Lot:
Permit No. 30 d A�_ Date of Pernut. 54/D�F Applicant: P. lea es
Health Dept. Approval: Underwriters Approval:
Planning Board Appiotal:
Request for: Temporary Certificate Final Certificate: _Z_ (check one)
Fee Submitted: $
Applicant Signature
Q�Rc.• bB2� 5
� o � 3Dg65
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764
Application: 6351 Date:5/5/05
Issued to:Cavagna
Address: 13090 Soundview Ave
Village: Southold By: B&R Mechanical Inc. License#:2761-E
was examined and approved up to the above date and was in compliance with the NEC
Attic 1st Floor Residential O Pool O Det Garage
Basement 2nd floor Commercial Hot Tub Addition
Switches Receptacles Fixtures G.F.I. Range Hood Timeclock
1 2 1 vimerai
Heater Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
1
Furnace Od Gas Heat Zones Whirlpool Bell
Transformers
Meter Amps Phase Motors
Other EquipmentInground Pool
ut.Res
✓1/�sseu�/J9 ���yec-/r�y,
This certificate must not be altered
in any manner
Permit#: 302842
Nassau Suffolk Electrical Inspections, Inc.
5A Canal Street • Center Moriches,New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764
Application: 6351 Dater/5/05
Issued to:Cavagna
Address: 13090 Sound-vie" Ave
Village: Southold By: B&R Mechanical Inc. License#:2761-E
%vas examined and approved up to the above date and was in compliance with the NEC
Attic 1 st Floor Residential O Pool l] Det Garage
Basement 2nd floor Carmerdal Hot Tub Addition
Switches Receptacles Fixtures G.F.I. Range Hood Timeclock
t 2 t t i rvnnerai t
Heater Dishwasher Washer/Amps Dryer/Amps Oven Carbon
Range/Amps Monoxide
Furnace Oil Gas Heat Zones Whirlpool Bell
Transformers
Meter Amps Phase Motors
(Other Equipment: Inground Pool
Out,Res
. tn,r/carr„1r�(/r k l ffrrurl/.%zm�b//prr-_/r�,
This certificate must not be altered
in any manner
Permit#: 302842
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING ['FINAL
[ ] FIREPLACE & CHIMNEY [✓ ] FIRE SAFETY INSPECTION
REMARKS:
DATE ���/ �� INSPECTOR
TOWN OF SOUTHOLD PROPERTY RECORD CARD- -1 .•
>0 NE A I r1 STREET _". VILLAGE DIST. SUB. LOT
�1Gi�,PS I�.C"V6 CL \% o n dvi e w 1Y e e. a � 71-.0 z, L L-) J�
FORMER OWt�ER�f AM L;CQi7� N E ACR.
I�n(1 E ' S o v nV O L_ /Vo Y74i 1. 70
e— Lehr 0 (u r S W TYPE OF BUILDING
m//e OriA.7a I w r ni r e /� lPr>C3/tT— CGvr tj s i W .,
CL
ZES,,9' SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
C2
2, 00 1yoa
9DO Uc GO L6 Yt7 [ - 7996 7e-
/ 11/1 . �✓
7G ,R r 'rFSG � ` °wa..c
P.'+r, edt,,� c Lads f C I/�'l 0 6Ct t� �jj?
LJO12414 - de L=41. pofc
i
- o -Po 12. fr D �L $ol�c: ,' v
a IN 7- 1 Sy - 1S5 $/85a v
/0 67 SS- / o
6Pr
-illabie FRONTAGE ON WATER
Voodland FRONTAGE ON ROAD
,Aeadowlond DEPTH
louse Plot BULKHEAD
1 COLOR 'ur�r TRIM 107riW �rT�
w i
y. 7
rx3� r -
i
i a 1
M. Bldg/. 2 X' i� 32=
it
Extension y d761
iY
Extensionsr -4:'piSxzls
- II
Extension
Foundation //C- Bath �/1 Dinette
Porch Basement P��7, Floors K.
Porch _ Ext. Walls VO WTI c R i Interior Finish R LR.
Breezeway Fire Place Heat A DR.
Garage OX k 1 = 1E51— �/3/0i Type Roof cams 1st Floor 3R.
Patio ).- �� �� �Y Recreation Room Rooms 2nd Floor FIN. B
O. B. �9 L �D Dormer Driveway
-Total ���
I
t
FIEL INSPECTION REPORT I DATE COMMENTS
ri e
FOUNDATION(IST) — -- -- —
_ -3
-------------------------------------
FOUNDATION(2ND) — --- -
Q
� ,'c7r
ROUGH FRAMING&
PLUMBING
l
r
m
LNSULATION PER N.Y. — ---
STATE ENERGY CODE — -----
FINAL —__—
ADDITIONAL COMMENTS r,
.J
I�
-- — — ,O
-- — z
m
_ a
y
2
d
rOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
WILDING DEPARTME11T O" Do you have or need the following,before applying?
GOWN HALL Board of Health
>OUTHOLD, NY 11971 3 sets of Building Plans
CEL: (631) 765-1802 Planning Board approval
PAX: (631) 765-9502 Survey
PERMIT NO. 3,5"PCheck
Septic Form
N.Y.S.D.E.C.
Trustees
:xamined 3 20-, Contact:
1pproved 93 20t) Mail to: !)1,L�1►�k_ C� �CX�L_`7
)isapproveda/c 1171 }py� �9()LA/-\I—ff
Phone: (O3I- 7gg- V06 11778
expiration 3 20 8S
Building Inspector
APPLICATION FOR BUILDING PERMIT
+Z 2 9 M
Date y. Cy 20
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with
ets of plans, accurate plot plan to scale.Fee according to schedule.
b. Plot plan showing location of lot and of buildings oapremises, relationship to adjoining premises or public streets of
reas, 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
hall 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
:sues a Certificate of Occupancy.
E Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
suance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
-operty have been enacted in the interim,the Building Inspector may authorize, in writing, the extension of the permit for an
idition 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
wilding Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
rplicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit
tthorized inspectors on premises and in building for necessary inspections.
"IMMEDIATELY of
OCCUPANCY OR f (Signature of applicaplor name, if a corporation)
E; CLOSE INCPOOL �
UPON COMPLETIQETiM USE IS UNLAWFUL -500 ��ti'v>/��� A�
Ia 9
-WATM WITHOUT CERTIFICATE 5o' 0 77VO(Mailing4 ess//a?7�t)
ate whether applicant is own t engineer, general contractor, electrician, plumber or builder
f*NQA)Eze-
OV
CA
ED AS NOTEp
tme of owner of premises gaf3E,,�r cl, �p�3 IZTA ( U/=1�nEl/�
(As on the tax roll or latest Ved)
applicant is a corporation, signature of drily authorized officer EE- e •_ �p `
NOTIFY BUILDING DEPARTMENT AT
(Name and title of corporate officer) CERTIFICATE FpL�OWING INSPECTIONS:802 8 AM To 4 FM FOR THE
REQUIRED 1. FOUNDATION -
dlders License No. / C/ ) a/� CONST FOR POURED CONCRETE Two EOUIRED
rmbers License No. VET TWE ION SHALL 2. ROUGH - FRAMING 6 PLUMBING
:ctricians License No. 1' (o 9,,S-C–
her
S NTS OF THE 3. INSULATION
ren K STATE. 4. FINAL - CONSTRUCTION ber Trade's License No. TI CON MUST
BE COMPLETE FOR C.O.
Location of land on which roposed work will be done: ALL CONSTRUCTION SHALL MEET THE
6 s+ONOWA5 rJ I THE CODES OF NEW
�'�C�9C) OCLNl� ' / /1 R€SPEMIgfBLE-�
--
House Number Street H OR CONSTR(1 - I
ERRORS.
County Tax Map No. 1000 Section 5� Block -5 Lot l y. q
Subdivision Filed Map No. Lot
a. Existing use and occupancy Sl Iy&L 4�7 F-l4tn/CY 17 1) /AJ >
b. Intended use and occupancy. -,SW1 j7aA)y 'UOL - I&RQUA 6 J&43V
klDA-�EY
3. Nature of work (check which applicable): New Building Addition Alteration
4,&)Repair Removal Demolition Other Work 4� - C.,RDL4L)D P56- L
(Description)
3. Estimated Cost /p ��. 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
S. 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
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation?YES`NO-
1 1.
O_1;. Will lot be re-graded? YES_NO—Will excess fill be removed from premises? YES_NO
136yo 50aAb ieu�AvE
14. Names of Owner of premises)&siseq2- `A/,;61j4Addres9 SouT oe-D hone No./-3h 7k5-- 199 23
Name of Architect Lei -_Iasi U so c) Address ` Phone No Iv3t-3V-a/L)S
Name of Contractor Nn y T. koLmekce-Address � 4one No. &31- .7 V1/- 9")4t)
71 I T•dA
16 a. Is this property within 100 feet of a tidal wetland or a freshwater weflan ?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_L,::�-
• 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)
SS:
COUNTY OF )
I I)ArO T l .n
ala 0,46AJA being duly sworn, deposes and says that(s)he is the applicant
(Name of indiv}dual signing contract) above named,
(S)He is the �E��,
(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 applicatic
that all statements contained in this application are tiue to the best of his knowledge and belief, and that the work will be
performed in the manner set forth in the application filed titerewith.
S«ZTQ_before me this
`� day of Ptzt� 20(O
Notary Public Signa of Applicant
KOL€€N P RODECKER
NOTARY PUBLIC,STATE OF NEW YORK
No.01R06099540
QUALIFIED IN SUFFOLK COUNTY
MYCOMMISSION EXPIRES SEPT.29,20C11
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SCALE: 1/8"= 1'-0" PLUMBING SCHEMATIC ror-Erw.us
FO WNiE
lit
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POump CONCKET O Z
WALL5 AND 5rrF5 O
Z o +=
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SECTION A B z v
SCALE: 1/8" = V-0" 4 20"WHITE RUBBER • N
FULCRUM PAD O Q
STN STL TUBE
318"0HOD REINF. W/MIRROR FINIS COPING&PATIO x >
RODS TVP CONIC.SLAB DONE BV OTHERS O w
4'WIDE MIN. Q
ora
TOP OF WALL-
WATER
ALL WATER LINE
— J
5' 10' 3'-6" — -9 �° 1'-6" Q
IIIIIIIII 9 0
III-� w
DIVING BOARD IF
DETAIL
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SECTION B
SCALE: 1/4" = r-0" v
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NOTES LlwANPCOCTr
1.STRUCTURE IS DESIGNED FOR USE BELOW GRADE AND ONLY IN AREAS WHERE THE
GROUNDWATER TABLE IS A MINIMUM OF 4'-e"BELOW THE PROPOSED FINISHED GRADE. °• . �// o
2. BACKFILL WITH CLEAN EARTH, FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT FGKM nES \j
OF BACKFILL TO EXCEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN 8", 3500 P51 roLPEP CoNmT
OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8". VINH.L NEP. \\\ 2 F
3 WALKS TO BE SMOOTH, NON SKID TYPE, SLOPED AWAY FROM POOL 2 rO 4 5ANNP . •° \ U ° 'z
4.WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY TO SUIT LOCAL REGULATIONS j� Q
5. DIVING BOARD AND INSTALLATION TO CONFORM WITH ANSI/NSPI-5 1995 / //- //\ //\//\/ / // p�
/� (,+� z
�AlFd
STANDARDS FOR RESIDENTIAL INGROUND SWIMMING POOLS FOR A TYPE II POOL. \\\/\\�\\ \y\\y
A) FRAMES ARE MADE OF 1.90"O.D.x.065 WALL. ALL BENDS ARE 6"RADIUS. FRAMES 5 �, z
ARE DRILLED TO ACCOMMODATE 3/8"0 REINF. RODS. REAR STAND HAS 2)9/16" HOLES WALL SECTION W ~
DRILLED ON 12"CENTERS FOR D.B.ANCHORING.
B) COMPRESSIVE STRENGTH OF CONCRETE SLAB FOR DIVING BOARD o
TO BE 3500 PSI OR GREATER. 'vp q'Pl by O