The URL can be used to link to this page

Home My WebLink About30546-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31342 Date: 12/21/05 THIS CERTIFIES that the building INGROUND SWIMMING POOL _ Location of Property: 555 HILLCREST DR ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 2 Lot 8 .5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 2004 pursuant to which Building Permit No. 30546-Z dated AUGUST 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 IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOHN ASHER & EDWARD J. SYPNIEWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 91670C 09/07/04 PLUMBERS CERTIFICATION DATED N/A Z� hor zed S'gnature Rev. 1/81 ma Form No.6 TOWN OF SOUTHOLD SE•SP BUILDING DEPARTMENT 3� E go 'Sr 765-1502 16 R PT 'v -AV__ j N.t tJ� to o i t APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled 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 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: 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, Commercial $15.00 Date. �c ___ 1,C New Construction: Old or Pre-existing Building:f (check one) Location of Property: �C-VA-% _ House No. Street Hamlet Owner or Owners of Property: J 0 kA x � . :5, -_S Suffolk County Tax Map No 1000, Section_ Block_ _ Lot Subdivision Filed Map. Permit No. rJ OSA�o Date of Permit. "S— t"1 Applicant:_ Health Dept. Approval: —_ Underwriters Approval Planning Board Approval: Request for: Temporary Certificate _Final Certificate: (check one) Fee Submitted: $ Applicant Signature y c0 313g2 c. Electrical Inspection Certificate Issue Date Electrical Inspection Service, Inc. Application 9/7/2004 375 Dunton Avenue 91670C East Patchogue, New York 11772 (631)286.6642 Issued To: Mr John Asher Street: 555 Hillcrest Drive Village: Orient Zip: 11957 Town: Sothold Section: Block: Lot: Contractor: Ridge Electric Lic. # 1895 Was examined and found to be in compliance with the National Electrical Code. ❑ Commercial ❑ NV Defects 0 Pool ❑ 1st Floor ❑ Indoor ❑ Basement ❑ Hot Tub 0 Residential ❑ Det.Garage ❑ Attic ❑ 2nd Floor 0 Outdoor ❑ Addition ❑ Survey rh Switches Receptacles Fixtures GFI Heaters A/C Fans 4S 1 2 1 Dishwasher WasherlAmps Dryer/Amps Oven Range/Amps Microwaves Furnace oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector Bldg. Permit: Other Equipment _ (Bonding OK _ t ~ qualiink 100amp sub panel with time. pool fixtures Hugo S. Surdi 1 20/220V receptacle President Rough Inspection: Inspector: Final Inspection: 09/02/2004 I, Inspector: John McMahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. gr III �V'�i 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. 30546 Z Date AUGUST 5, 2004 Permission is hereby granted to: JOHN ASHER 555 HILLCREST DR ORIENT,NY for CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD, FENCED TO CODE at premises located at 555 HILLCREST DR ORIENT County Tax Map No. 473889 Section 013 Block 0002 Lot No. 008 . 005 pursuant to application dated AUGUST 3 , 2004 and approved by the Building Inspector to expire on FEBRUARY 5, 2006 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ej"�FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER L .Sck 9' "" 555 VILLAGE DIST.1 SUB. LOT a rr ER OW N E ACR. ll � t�. S W TYPE OF BUILDING RES. .Z(0 SEAS. VL t FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS u z z —L / 0 -/fie e MG l t o c- 0 Re u0 D 0 / 9,426/8 3 ✓ —L 00 5 e 3 trop I l ca 1?E v I I n0 1119c , i Y �a 7� act/ / ti 'Stty R5oo p �Io00 ?e0i X500 5 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD yG? Meodowkmd t* P4 7o DEPTH House Plot C�1� cr BULKHEAD Total ■■■■■■■■■■■■■■■■■■■■ IMUMEMEMEM ■■■■■1�':l�N ■■■■Mli■■■■■ ■■■■■■■■�■E.J■Eli■■■■■ ■■■■■■■■i'uGiiiii■■■■■ ■■■M■M■MEMEMS OMENS ■E■■M■■N■■■■■■MEM■■■ ■■E■■E�EMEMEM■O■OMENS ■ ■MENNE ■M■■■■ MESON E■■■■■■■■■■E■■■■■■■■ .f FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (IST) - - -- a ----------------------------------- — FOUNDATION(2ND) O .t � o J► - LA ►3 ROUGH FRAMING& H PLUMBING N rt T r INSULATION PER N.Y. STATE ENERGY CODE qpcV FINAL ADDITIONAL COMMENTS -O Lz m Z � e a y � x d b y TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CfIECKLIST 3UILDING DEPARTMENT Do you have or need the following,before applying? 'OWN HALL Board of Health, DUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502Survey www. tiorthfork.net/Southold/ PERMIT NO. -595Y4 9-- Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 DY Contact: Approved 20 Mail to: Disapproved a/c Phone: Expiration J' r ,20 4(- -- i Building Inspector 3 APPLICATION FOR BUILDING PERMIT i Date 120 INSTRUCTIONS a. This application MUST 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 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 en eted 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 demob ' n as herein described. The applicant agrees to comply with all applicable laws, ordinances,building code,housing a and egulations, and to admit authorized inspectors on premises and in building for necessary inspections. UNDERWRITERS CERTIFICATE REMIND OCCUPANCY OR ature of applicant or name,if a corporation) "IMMEDIATELY" USE IS UNLAWFwA --74A Sakankn ENCLOSE POOL TO CODE (Mailing address of applicant) UPON COMPLETION WITHOUT CERTIFICATE State whetSrEPWtMTiE!Wner, lessee eryi� t�gip�er, general contractorleetppj�y�nlxtn"=-builder �i ( VV�� IIJJ \,�� II�VVI�i�Y DATE•NNS'FFI''FFyii�VV�YYCCYY�p.1rIVV�ICs1�J � � Name of owner of premises:-0 )o P Cj `[ah FEE: ice. BY: (As on the tax roll or latesW�' ? If applicant is a corporation, signature of duly authorized officer 8 AM TO 4 PIS FOR THE FOLLOWING ING INSPECTIONS: Name and title of corporate officer 1. FOUNDATION . TWO REOUIRED ( rp ) FOR POURED CONCRETE II -- 2. ROUGH - FRAt0iNG 8 PLUMBING Builders License No. q l/J— ,7j 3. INSULATION Plumbers License No. QL of L-{ ZnL — {, 4, FINAL - CONSTRUCTION MUST Electricians License No. i Q q 5 E BE COMPLETE FOR C.O. Other Trade's License No. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of lan own, which roP�ed�work will be done: Y RK STATE. NOT RESPONSIBLE FOR SSS tTl \1( ' 1 J1 1�I Q(-ke KIN OR CONSTRUCTION ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section 3 Block �L Lot . 1 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises anq mten use and occupa y of prQIjused c nstruction: a. Existing use and occupancy �(1Q m 1 L� 3 Nel I�� b. Intended use and occupancy 1J_ m \{1��l q 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work ,rn ,n ( escription) 4. EstimatedCost t�� 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. ert ('e +' E 7. Dimensions of existing structures, if any: Frt � Z_ear U -' `I Height Num4beft+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>e 13. Will lot be re-graded? YES NO—Will excess fill be removed from premises?YES__NO_ 14. Names of Owner of premisesSnhYl A6V)c�,t' Address Phone No._ Name of Architect"A'--> Un&( y-( Address Phone No Name of Contractors Tc-,Ckr>K�-l l��' iRQ Address �°y ey�Phone No. 2L�3- 1373 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? * YES_NO * 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 3b— Vll� 1� `� \ lv� being duly sworn, deposes and says that( he i the applicant (Name of individual signing contract)above named, ( )H is the (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. Swom t before me this day of_L&—y 20 Oq Notary P he Signature of Applicant ROBERT F. GRIFFING Notary Public,State of New York No.01 GR6046671 Qualified in Suffolk County Commission Expires August 21,20�� !'tl 10-- fYT"4. 4U ^s��^VWrr/ { ,00 t S 7 34*40" V, '555 HILL CRES'T' -PRIVE 0 tw -• RETAIN STORM WATER RUNOFF E PURSUANT TO SECTION 45-IOC F"n �++ OF THE TOWN CODE. ( ALL C- 21g--TwN SHALL MEET THE REQi l9fMENTS OF THE c� COMOF NEW YORK STATE. i t r_ > cm 3 ,, =e N G2AD� 1•'� I 11 I"1 L 11 -�e Ip•e fp,p "�bYJIMIM�I+b -_ .o CnV FEms" _O x� t 1 t t SET t S f r ! w c f Seal&Signature POOL WALLS, BOND BEAM, AND FLOOR SHALL BE POOL DECK SHALL BE PAVED WITH MASONRY, OR STEEL REINFORCED GUNITE CONCRETE. GUNITE Io„ WITH 4"OF POURED 1N PLACE CONCRETE. CONCRETE SHALL MEET OR EXCEED 4,000 P.5.1, 0h"EXPANSION JOINT 2& DAYS. STEEL REINFORCING BARS SHALL —10 (SEALANT IS OPTIONAL) CONFORM TO ASTM A615, GRADE 60. : , f 5 . 6"X 6"FROSTPKOOF CERAMIC TILE i, {• Vii: l♦ t ;•.a\•�V•� •i.i�: ` .. WATER LEVEL 9D CENTER OF CERAMIC TILE IN POOL WALLS WITH A WATER DEPTH OF 5'-O"OR � LESS, RE-BARS SHALL BE PLACED HORIZONTALLY AND VERTICALLY 0 12"O.C. - • ` �� o t IN POOL WALLS WITH A WATER DEPTH GREATER MINIMUM SIZE OF COPING STONE SHALL BE 1 '/z" o aN 0 THAN V-01,ADDITIONAL VERTICAL BARS SHALL BE / THICK BY 12"WIDE a INSERTED TO CREATE VERTICAL BAR SPACING®6" O.C. THESE 6AR5 SHALL START FROM THE TOP OF Z - 4"SAND BASE, WHEN NECESSARY TO AID THE WALL AND SHALL BE BENT AT THE BOTTOM TO 1. < �� DRAINAGE IN SLOW DRAINING 501L a _ m EXTEND 24"HORIZONTALLY INTO THE FLOOR. POOL WALLS AND FLOOR SHALL BE T'THICK, AND THE VERTICAL RE-BARO ® 12"O.C. SHALL BE BENT BOND BEAM SHALL BE 10"WIDE X 12"HIGH. AS SHOWN IN THE BOND BEAM. 1 _ 4- #4 BARS SHALL BE SPLICED TO FORM UNLESS OTHERWISE SPECIFIED OR REQUIRED, #3 ' CONTINUOUS REINFORCING WITHIN BOND BEAM BARS SHALL BE TYPICAL NORMAL FLOOR REINFORCING SHALL CONSIST OF - - - :a I - — INTERIOR FINISH ON GUNITE SHALL BE 'Fz"THICK RE-BAR5 PLACED AT RIGHT ANGLES (90') TO EACH - •�• TROWELED-ON "MARBLEDUSP' \ ` RADIUS AT INTERSECTION OF GUNITE WALL AND OTHER 0 12"O.C. FLOOR VARIES. =\� ,00 4 3' •� CRUSHED STONE, WHEN NECESSARY TO AID DRAINAGE IF GROUND WATER IS ENCOUNTERED IN r o. ._ - s • SLOW DRAINING 501L • co to GUNITE POOL SECTION .. SCALE: 1" = l' - O" - Js :• Applicant/ Owners Name:.. n DateReviewed: Architect/ Date Engineer: Submitted: SCTM #: District: 1,000 Section: ► Block: Project _ Subdivision Location: Gt'� n� Nance: r $inic d separate Required f cerllfication: (Yes f No) DD Rey. Its --- -- -- ReqZ-oll. 1)islricl!._ (Lotsize: dam_ AauaC_ 0 j/Q LotCovera e � 6 � t B 1 ropasc d Req. ((root Pard Proposed:____f ,Proposed: ) [Rear Yard A_ Prolmed ty� Project Description: �S P AGENCIU .IZMUS �'e_ rmif 1�ZUIRED FOR ILFVIEW l NYO +S 1�Iumber Suffolk County Health-Dept. New York State. D. E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: / • , . 1. -.�. Flood Plane Elevation??? Flood Zone: ..►,c_ X, ,,,, D 8 �. - ,