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Home My WebLink About31162-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31452 Date: 02/27/06 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 610 LUPEN DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 1 Lot 3 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ 2005 purs-~nt to which Building Permit NO. 31162-Z dated MAY 25{ 2005 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 LUCILLE C LUFRANO (OWNER) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTHAPPROVAL N/A ELECTRICAL C~KTIFICATH NO. 2067906 PLUMBERS c~KTIFICATION DA'~u N/A 09/z9/0s uhore Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD TOWN HALL 765-1802 AP~L~ION FOR CERTIFICATE OF OCCUP~CY This applic~st 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 su~,ey 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 1% 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. Suhinit Pla~ming 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 conseut 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 dxvelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmmng pool $25.00, Accessory building $25.00, Additions to accesso%' 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. Temporao' Certificate of Occupancy - Residential $15.00, Conunercial $15.00 New Construction: Location of Property: House No. Ovmer or Owr~ers of Property: ~ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: (check one) Block Lot Subdivision Filed Map. P6rmit No. ~D_ate~fPermit .... Apphcant: Health Dept. Approval: Underwriters Approval: Plamfing Board Approval: Request for: Iemporat3' Certificate Fee Submitted: $ ~ 5- 5 Final Certificate: (check one) Applicant Signature BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PAUL R. BURNS LEONARD & LUClLLE LUFRANO P.O. BOX 1061 610 LUPEN DR SOUTHOLD, NY 11971-0932, CUTCHOGUE, NY 11935 Located at 610 LUPEN DR CUTCHOGUE. NY 11935 Application Number: 2067906 Certificate Number: 2067906 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 0-599 square fl. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the ]gth Day of September, 2005. Name QTY Ram Rating Circuit Type Appliances and Accessories Pool/' Spa Bonding I 0 Time Clock/Switch 2 0 Panels I 100 7 Wiring and Devices Receptacle 6 0 20 amp Pool/Spa Fixture 4 0 Pool/Spa Receptacle 2 0 GFCI CFC! Circuit Breaker 7 0 20 amp Pool/Spa (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it ~s advisable to have frequent test and/or repairs made by a qualified person. seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 31162 Z Date MAY 25, 2005 Permission is hereby granted to: LUCILLE C LUFRANO PO BOX 642 POINT LOOKOUT,NY 11569 for : CONSTRUCTION OF AIg INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR, FENCED TO CODE at premises located at 610 LUPEN DR CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0001 Lot No. 003 pursuant to application dated MAY 18, 2005 and approved by the Building Inspector to expire on NOVEMBER 25, 2006. Fee $ 150.00 ho~ized Signature ORIGINAL Rev. 5/8/02 Fll~LD INSPECTION REPORT I DATE r COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAM~G & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE F~ ~D~ON~ CO~IENTS TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING [/~FINAL ,/~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: -t -r 0 0 m i11 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans_ Survey_ Check Septic Form N.Y.S.D.E.C~- --- Trustees Cootact: Mail to: Phope' Building Inspector APPLICATION FOR BUILDING PERMIT Date ~5] q INSTRUCTIONS ,20 ~lication 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 pernnt 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 a Certificate of Occupancy is issued by the Building Inspector. 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 agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises.and in building for necessary inspections. "IMMEDIATELY" EN~,.O~E POOL TO CODE UPON COMPLETION BEFORE "WATER' OCCUPANCY 'OR USE IS UNLAWFUL (Signature of applicant or name, if a corporation) (Mailing address ofapplic~n() ]1"-~ LDO9 State whether applicant is ow~/lt~,~l~lli~l~l~i][~r, general contractor, electrician, plumber or builder C, o r zvrcUPANCY APP 0¥,ED AS NOTED Name of owner of premises ]_f ~1 0 , e l 1~. L%_-4C~ ~v"N t.D OATg, 4~c~ .... ~, ~,. ~ - ~Sfl~ll or latest ~)~ ~(~~ . Ifapplic~t is a co~oration, silage ofd~y authodz~ officer NOTI~ BUI[DING ~~ (Name and title of corporate offic~:TAiN STORM WATER RUNOFF PURSUANT TO SECTION 45-10C Builders License No. ~ 1,18~ H 'T_- mc 'ru= ?t~A~, t,t~nc Plumbers License No. Electricians License No. _ ~,AILI. CONSTRUCTION SHALL ~ THE REQUIREMENTS OF THE Other Trade's License No. tnnn=e ~e ~,~-~,, ~,~ ~, ..... -- ,,.-,, .,.,.',,oTATE. 1. Location of land on which proposed work will be done: House Number ~treet 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUct'!ON MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODEs OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. t ~ rrHal-x ~>a~t~ ~ -- ' Haml6t CountyTax Map No. 1000 Section. Subdivision (Name) Block I Lot ,~ Filed Map No. 3"~Z ~ Lot ,~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy t:~,~ .4'~.,.~..: b. Intended use and occupancy or~ e -'/~,'~c-o ~ ['./ 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling un/ts If garage, number of cars Addition Other Work Alteration (Description) Fee (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofexistingstructures, if any: Front ~ 9-c,.¢ } Rear ~t_,~';'h Depth3~, Height Number of Stories. 1 '1 ~_ Dimensions of sam. e structure with alterations or additions: Front Rear Depth Height. Number of Stories 8. Dimensions o f entire new construction: Front Rear .Depth Height Number of Stodes 9. Size oflot: Front I~}0' Rear I~,.%to' Depth Itol,~O'. ].'~1.~'"']' 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: FI 13. Will lot be re-graded ~ C-~ Will excess fill be removed from premises: E~) NO 14. Names of Owner of premises~kO2~,l~r~alLAddress~Phone No.%tt~o q, fil - Dc4 "7~) Name of Architect Address Phone No Name of Conb'actor ~-~-~'fi ~'0 I C?2..,4e-"~nl Address ~:~.no..Y,~E. Phone No.~.~~. 15. Is this property within 100 feet ora tidal wetland? *YES NO ~E · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE QUIRED 16. Provide survey, to scale, with accurate foundation plan and 0Jst~qqqs tfl prop~y4ill.~s, ' '~;"'~ '7".' '3~ ~" ; 17. If elevation at any point on property is at 10 feet or:.bet ..o?r, ~last pm},iele rop, qflgaptlic~sl data on survey. STATE OF NEW YORK) SS: COUNTY OF ) (Nam,-of individual signing c~mtraet) above named, being dlaly ~orn,~s and says that (s)he is the applicant tS)He is the ~ Q rh'~dt~ ~ k'~ (Contractor, At,Or Corpwa.~.Offi,qex, etc.) ,, .... of said owner or owners, and is duly authorized to~perfofafi'or .ha...y~j!at~. 9rmed ~fi~ s,~d work and to make and file this application; that all statements contained in this application are tree to the BL'~t'tff'hts knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to before me this day of k~ ,,'z ~J 20 tg~ Not~ Public gn pp Chrfcti A. No. '?':$,:,7C40;.~.~$, ~':~ff~!~ Term Expires March 13,