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HomeMy WebLinkAbout30708-Z FORM LSO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31019 Date: 06/29/05 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 1077 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473689 Section 109 Block 7 _ Lot 7.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14, 2004 pursuant to which Building Permit No. 30708-Z dated OCTOBER 18, 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 WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DONALD & ELIZABETH MCGRATH _ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2059338 06/23/05 PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 Form No.6 - TOWN OF SOUTHOLD BUILDING DEPARTMENT JW 2 7 TORN HALLfl 765-1802 APPLICATION FOR CERTIFICATE OF OC'C'UPANCY - This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: 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 front Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than ' 10 of 14o 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 propetty showing all property lines, streets, building and unusual natural crr topographic features. 2. A properly completed application and consent to inspect siLned by the applicant. If a Certificate of Occupancv 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, . Aterations to dwelling$25.00, Swirtuning pool $25.00, Accessory building $25.00, Addition: to acccssorN building$25.00, Businesses $50.00. 2- Certificate of Occupanev on Pre-existing Building- $100.00 3. C'opv of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. TemporarN Certificate of Occupancy- Residential $15.00, Conuuercial $15.01) ��II Date a ! 00 New Construction: / Old or Pre-existing Building: (check one) Location of property: _ LO 1 _N C�t� So r r+-Z"\ \C z C'k House No. Street Q Har tt Owner or Owner., of Properr: 1 ?G \�-e `r �c> C \ G� t rc `� Suffolk County Tax Nlap No 1000. Section Block Lor Subdivision- _ - Filed Ntap. Lux Permit No. 2__7 Ci�j _7 Date of Permit.- - .applicant:—-- — ---- Health Dept. Approval: _ - Underwriters Appro%al: Planning Board Appro%al: Request Cot: Temporary Certitieate __—Final Certificate: V (cheek one Fee Submitted: -- - -- 4 .y�Icintslg ahrrc c o 31019 OrllJrJ�rJ0i far4i00 �rPrPcPrP�.fa:ili! JLrL3 3d PrJ@PrJ�r.PrJPLrnrPrl'a�PrJErJ2rJ'rJcrJ990100110-1rliJ �r.IJ�rJrIE.-J-1E!ftlr�r3-Qr1arJLcFLJfr73 o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 re�s CERTIFIES THAT .] Upon the application of upon premises owned byC.1] 5 D.W.P. CONTRACTORS ELIZABETH McGARTH t'�C77 5 5204 SOUND AVE 1077 NEW SUFFOLK RD 5 5 RIVERHEAD, NY 11901, CUTCHOGUE, NY 11935 55 5 1077 NEW SUFFOLK RD CUTCHOGUE, NY 11935 5 5 Located at 5 5S Application Number: 2059338 Certificate Number: 2059338 5 5 Section: Block: Lot: Building Permit: BDCNS 11 BDC: ns11 rCSj Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 Outside. Pool%Spa, r5 5c� A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed Dj 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 51 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 23rd Day of QTY June. 2005. 5 5 Name Rate Ratine Circuit TIN 5 5 Appliances and Accessories 5 5 Time Clock'Switch 1 0 5 tj Panels 5 5 5 1 50 2 5 Wiring and Devices 5 5 Switch 2 0 General Purpose rrr5r+ 5 Receptacle 1 0 20 amp Poo If Spa r—J 5 Receptacle 1 0 GFC1 5 5 I Skimming Poop: This certificate corers compliance at the date of inspection only. Because of unusual environments it is advisable to have 5 1}equent test and or repairs made by a qualified person. r,JJJ 5 5 5 5 fJ.sea/ I of I S 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 5 t7 rJ�rlarJ@PrJ�rJra@PraJJ aJ �3-000-300 0���rPP �rJJ�raPP�PtJ���@nJ�rarnr �PPJ a�P@LLa1111 r3P FORM NO . 3 TOWN OF SOUTHOLD BUILDING DEPARTME'N'T Town Hall Southold, N. Y . BUILDING PERMIT iTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZEDi PERMIT NO. 10708 Z Date OCTOBER 18 , 2004 Permission is hereby granted to : D MCGRATH (EE POOL) 35-300 SOUND AVE PECONIC,NY 11958 for . INSTALLATION OF AN INGROUND SWIMMING POOL ICS THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 1077 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 105 Block 0007 Lot No. 007 . 002 pursuant to application dated OCTOBER 14 , 2004 and approved by the Building Inspector to expire on APRIL 18 , 2006 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5 /8/02 FIELD INSPECTION REPORT DATE COMMENTS W O FOUNDATION (1ST) --- ---------------- -- -- - ---- ---------------------------------- - -------- AL FOUNDATION (.ND) g m 2 O — ---- O J � ROUGH FRAMING& ----- ----- - ----- -- PLUNIBING ----- - -------------- 3 m INSULATION PER N.Y. --------- -_- -- STATE - ------_ — '"� STATE ENERGY CODE ---------- ---- FINAL ADDITIONAL COMMENTS 01 ----—-—---- --- - ------------- -------—----—- O z m b � b -- ----------------- ------ ---------- a -� 0 m a d 'o rr.��aOf SOpT�olo':. 3o7© � z #Q, TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �O r a7— 05 INSPECTOR �. SO '.. r� `) � :;�� • ,moo.�i CDUNII ` TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ FINAL ; [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: KIP DATE �_ INSPECTOR C t - U l+V /I so a V1►�t L L�UE2> i YPICAL V-Y\L T-�.f=TN1 L 4 � �s 3/4O_ I_o. TEi�S 7oP ��T�M P L_AN v/Z r0 wA%-TE �8„ = 1, o„ Pvm►� —N � F-►�.T�2 � Nom►s R.P u�2. aac.y-- IQ 3" C�MPRcT�p _ sciAE= ,4z-nC PIPING Q��A�JG'M'T '.�/iu� -� v ► ' " Mtti1-DEPTH �F Pte- f�Q D�C�C. L�t�l �► _D►V►►.�G �OA�+� To M��T N•s,F, R�!„'m�' t Uki Miv.j %MUM AT e'-6-1 Sl Z A B C ARBA VOLOME «• 'b " zd 40 866 '�'"" " ra Tr =T�tJ i�_NTC G�t1� I Y }` 'cjr .4.v3 TORN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT �,, Do you have or need the following, before applying:' TORN HALL 1 4 1`' Board of Health SOUTHOLD, NYI1971 3 sets of Building Plans__ TEL: (631) 765-1802 Planning Board approcat _ FAS: (631) 765-9502 Surrey_ %%-N%,i%. northfork.net/Southold/ PERAHT NO. .?J �Llr� Check _ Septic Form________ NX.S.D.E.C. _ Trustee., Examined_ _ �(� 20_J1 Contact: Appro% d--- _ — r 70 Oto' Mail to: -- ----- Disapprored a c_ Phone: 10 Building Inspector APPLICATION FOR BUILDING PERMIT Date /�' /,'-/1---- 20a/ INSTRUCTIONS a. This application NIUST be completely filled 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 prenmises 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 eomnnenced within 12 months after the date of issuance or has not been completed within 13 months from such date. If no zoning amendments or other regulations affecting the property hate 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 NIADE 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 ag ees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized in, raises and in building for necessary inspections. "IMMEDIATELY' ` ENCLOSE POOL TO CODE (Sig ature of applicant or name. if a corporation) UPON COMPLETION OCCUPANCY OR / BEFORE "WATER" jS�c + r� f yf con G. /^✓/� //9j-,r LC ION SHALL USE IS UNLAWFUL (Mailineaddress ofapplicant) ME1THEREOUIREMENTSOFTHE WITHOUT CERTIFICATE StaeOMl0F fg*gMk/, ,-- ; lessee�g�t}(�ScJl' c�e�}�neer, general contractor, electrician. plumber or builder Co /" � 7c � IJJ�h''HH l� p / �E% : �-,A //1- . f , APPROVED AS NOTED Name of owner of remises '•� c �i ' ;.� (As on the tax roll or lates If applicant is a corporation, signature of duly authorized officer FEE: By' ` 7, NOTIFY SU C �Tt,.FNIT AT (Name and title of corporate officer) 765-1802 8 - V -') . THE FOLLOWING IN_' c, lu, -. Builders License No. � TJ--//-,4-RETAIN STORM WATER RUNOFF 1. FOUNDATION • 1 '#� REQUIRED Plumbers License No. PURSUAN I TO SK RON 45'lOC FOR POURED COP, 'PETE _ 2. ROUGH - FRAMING & PLUMBING Electricians License No.— OF HE O N COD 3. INSULATION Other Trade's License No. 4. FINAL - CONSTRU-TION MUST BE COMPLETE t-OR C.O. 1. Location of land on which prposedwork will be done: ALL CONSTRUCTION SHALL MFFT 7HE /(1{`.✓ F0.9J /✓C�{ + c -1F�:aIrIFSEL,� T, NEW r i� . _r- FOR House Number Street Hat< ��� S. IGN OR CANST C ERRORS. County Tax Map No. 1000 Section / ,� 9 Block O -7 Lot 5 ------- ----- - Subdivision __---_-- Filed Map No.------- Lot — - --------- (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy __ —__ b. Intended use and occupancy 5 6gm 3. Nature of work(check which applicable): New Building Addition r Alteration Repair Removal Demolition Other Work St,/;m rEx (Description) 4. Estimated Cost_ /l D la 0 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 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 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES___NO___ 13. Will lot be re-graded? YES_NO_Will excess fill be removed from premises? YES_NO 14. Names of Owner of premises 41, G-ra-A Address to 7 z A s Phone No. Name of Architect Address _Phone No Name of Contractor Address 9,S-300X f y Phone No. 63/-73Y'_600 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X * IF YES, SOUTHOLD TOWN TRUSTEES & D1 C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES----NO X * 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.topWaphical data on st STATE OF NEW YORK) AR, SS: COUNTY OF_�) f j ttiY"(1 k n being duly sworn, deposes and says that(s)he is the applicant (Name of individu 1signing contract) above named, _—� (S)He is the a., 7, " v /e!- (Contractor, Agent,Corporate Officer, etc.) of said owner or owners, and is duly authorized td peifbtin orl a&e`pAlBf ted OW gaid work and to make and file this application; that all statements contained in this application are uVe 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. Sworn to before tSie this --- '0 oy � l Notary Public — Sis ature of Applicant PAT O'BRIEN Notary Public State of New York No.C Public Expires p So 0 V RICKASAUGiH o_ .00 T N101F MARK 501.19' s y vA CNK g0.0640" N O I I � ° PA Septic P;oP. 10 }ion a O i Sys fe^' �O� {,s C V _ .. •,fie 11 N �y '' �� r, O yd Z q, be4'rawN �7 . ZE w I 56 • O RICKABAUGH r-�� 498.86' I _. _ _. io. 06' "'pe N/O/F WALTER TERESKO 2=00 . 15.00 a o __� 11o�n1w �Pl�l 225.001�o N �onlm c.v �� ETH MC GRATH �' AE w I J TEST HOLE 2/23/04 _ �0a O\1 - DARN tlRUWN SAAOY LOAM OL SURVEY OF PROPERTY 6 9 BROWN 9L.Y SAND -WA T CUTCHOGUE A•` / PALE bRGWN f"MF 70 FkT1 RI SAM7 Sr TOWN OF SOUTHOLD SUFFOLK COUNT 1000 - los - 07 /fie CROWN CLAYEY SAM.' SC Scale: '" = 4 p , rfor Date. keviewed: � App1t ►t/ ¢ c Owners Name:... Date Architeetf Submitted: gngirteer: `� SCTM #: jt3lock: _ Lot: Z District: 1.000 Section: Subdivision Name'. project — L.oeation: � $in&lc Rr.separate Reg(yesuiredoef Certification: (l.ot coverage ��I C/ I'r��lx�•ed '-�=�� Req. .�,.•1 `Actual: I (IAt size: !_ening t)istricl: R� [Rcu Yard proposed' Req• [Side Yard proposed: tr-ront Yard ._--Prnp =----I Project Description: YES hermit . 1�iumber . r•,�rrru I Suffolk County Healt4 Dept. Now York State. D.E:C. -- Town TnmteeS . approval' Town Zoauig Board app ' Town Ply Board approval: 1.--- Flood Plane Elevation??? y Flood Zone: . r • M