HomeMy WebLinkAbout31359-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31575
Date: 05/23/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 985 SOUTH VIEW DR ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 13 Block 3 Lot 5.1
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 9, 2005 pursuant to which
Building Permit No. 31359-Z dated AUGUST 12, 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 WITH FENCE TO CODE IN THE REQUIRED
REAR YARD AS APPLIED FOR.
The certificate is issued to EDWARD & JO ANN CONSTANTINO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
103220C 10/14/05
i
orized Signature
TOWN OF SOUTHOLD
`. BUILDING DEPARTMENT
- $ TOWN HALL v
765-1902
.ICATION FOR CERTIFICATE OF OCCUPANCY dv i/ i ilo
1
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 fonn).
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 cerlificate
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
New Construction:
Location of Property: S
House No.
Owner or Owners of Property:
Old or Pre-existing Building:
CL
Street
Date. S'/ ? - O 6
(check one)
091ENT
Suffolk County Tax Map No 1000, Section Lt 73 Sk9 Block000 3 Lot
Subdivision
Permit No. Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Filed Map. _ Lot:
Applicant:
Underwriters Approval:
Final Certificate: (check one)
Applicant Signature
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. 31359 Z Date AUGUST 12, 2005
Permission is hereby granted to:
EDWARD A JR & ORS LINKER
PO BOX 475
ORIENT,NY 11957
for :
CONSTRUCTION OF AN IN -GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at 985 SOUTH VIEW DR ORIENT
County Tax Map No. 473889 Section 013 Block 0003 Lot No. 005.001
pursuant to application dated AUGUST 9, 2005 and approved by the
Building Inspector to expire on FEBRUARY 12, 2007.
Fee $ 150.00
ORIGINAL
Rev. 5/8/02
Electrical Inspection Certificate
Issue Date Electrical Inspection Service, Inc. Application
10/14/2005 375 Dunton Avenue 103220C
East Patchogue, New York 11772
(631) 286642
Issued To: Constantino
Street: 985 South View Drive
Village: Orient Zip: 11957 Town: Southold
Section: Block: Lot:
Contractor: Richard. Kleinfeldt Lic. # 665-E
Was examined and found to be in compliance with the National Electrical Code.
❑
Commercial
❑
NV Defects ❑x Pool
❑ 1st Floor
❑X
Indoor
❑
Basement
❑ Hot Tub
X❑
Residential
❑
Det. Garage ❑ Attic
❑ 2nd Floor
X]
Outdoor
❑
Addition
❑ Survey
Switches Receptacles Fixtures
1 1
Dishwasher Washer/Amps Dryer/Amps
Furnace oil Gas Circulators
Meter Amps Phase UG/OH Jacuzzi
Bldg. Permit:
utner equipment
1- Rain Tight Sub Panel / 1- Time Clock / 2-
20/220 Spec Outlets / 1- Rain Tight
GFI Heaters A/C Fans
1
Oven Range/Amps Microwaves
Smoke Detector Bell Transformer
Television CO Detector
"fVPW44
Hugo S. Surdi
President
Rough Inspection:
Inspector:
Final Inspection: 10/13/2005
Inspector: John McMahon III
This certificate must not be altered in any manner. Inspectors may be identified by their credentials.
TOWN OF
RECOVD CARD
s WNER
Of 5
STREET
VILLAGE
DISTRICT I
SUB.
LOT
2d Y�
I� Q5u
t✓1hPY, {.- Gkvtb
(�
UUf/ vt1eW A-1ve.
��.
�
✓eTc,
FORMER OWNER WGtrd R , L\nke(
N
—
E
ACREAGE
SoQ"`� �C3a�rc he)4 tT ,f w f S
01 uaeI
W �
TYPE OF BUILDING
RES.a/ b
SEAS.
VL.
FARM
COMM.
IND.
CB.
MISC.
LAND
IMP.
TOTAL
DATE
REMARKS
/ D V
/ 0 o
J O
3r0
j�a a
SPP
9Ce J
17S
Ko a
z
2
V
OGO ;
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW
ABOVE.,
I
% kPr
LIn ✓`%Qfa N
Farm
Acre
Value Per Acre
Value
Tillable I
Tillable 2
Tillable, 3
Wcodland
Swampland
—
Brushland
House Plot
Total
tDoo-13-3-5_ITOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER
STREET �CJ
VILLAGE
DIST.
SUB LOT
ACR.`
y
REMARKS /�I l
$ -LlrlkprJrtfa,-s %CoJS61/1noSP2S
—LIZZJ S
TYPE OF BLD.
PROP. CLASS
Z!D
LAND
IMP.
TOTAL
DATE
FRONTAGE ON WATER
TILLABLE
FRONTAGE ON ROAD
WOODLAND
DEPTH
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
DESIGN
PERMITS
JAMES K. MORROW, JR., P.E. INSPECTIONS
2066 BEDFORD AVE. • NO. BELLMORE, NY 11710 • (516) 785-8032
August 4, 2005
Town of Southold
Department of Buildings
Re: New Inground Swimming Pool
Drainage Facilities
985 South View Drive
Orient, NY 11957
Dear Sir or Madam:
This letter shall certify that the new inground swimming pool for the above referenced premises will
not require permanent drainage facilities because the pool is constructed with a vinyl liner. The
pool water will be continuously recirculated through the filter and will be reused from year to year.
The drainage from the filter backwash is nominal and will not interfere with public highways,
public water supply, existing sanitary facilities or neighboring properties.
Sincerely,
— Qz� �'44 (��-
Jame . Morrow, Ir., P.E.
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING / STRAPPING [ FINALCA
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE OS /� o/a `E
INSPECTOR
r
I
TOWN OF THOLQ UILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[
"I, -
] FOUNDATION 2ND [ ] IN ATION
[ ]
FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE `o 0 INSPECTOR
FIELD INSPWTION REPORT
I DATE
COMMENTS
FOUNDATION (IST)
------------------------------------
W
y
FOUNDATION (2ND)
h
`5115i
z
ROUGH FRAMING &
PLUMBING
0
.z .
lSn�
(Yj
C
m
INSULATION PER N. Y.
STATE ENERGY CODE
Dr
(� H
FINAL]
ADDITIONAL COMMENTS
U
z
z
m
6 A
y
Jb
s
6
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x
x
tv
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO. J�
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Check
Septic Form
MY.S.D.E.C.
Contact:
Mail to:
Building Inspector
U LICATION FOR BUILDING PERMIT
' 9 u Date20_�U�
V ZSC Lac
INSTRUCTIONS
a. This\iippkati&MUST be bbmpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, ac' urate .pllari to scale. Fee according to schedule.
b. Plot plfowing 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 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 agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
94L4�
a�
t/ (Signature of applicant or name, if a corporation)
1-1-1 cork Ave30_ + NP,.y� nl`i
(Mailing address of applicant) 1 o as
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. I n i —1 — }{ 7
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
House Number Street
County Tax Map No. 1000
Subdivision
(Name)
e—nA
Hamlet
Section 13 Block 3 Lot
Filed Map No. Lot
2. State existing use and occupancy of premises
a. Existing use and occupancy n1 e
b. Intended use and occupancy
intended use and occupancy of proposed construction.
I mi ly r -A1 A\P iII'nq
Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work—' (lq(pl (✓1C�Stn� mm;n��al
(Description)
4. Estimated Cost
Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units /VL__ Number of dwelling units on each floor:N j
If garage, number of cars _nl I N
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front 1-1—Rear
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
nanth HPinht Number of
Depth 07? 0
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 Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address 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? * 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:
CO
being duly sworn, deposes and says that (s)he is the applicant
.11 (Name of individual signing contract) above named,
(S)He 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.
Sworn to before me this
2005
day of
Notary P blic
�
YmOtaft
#ozBaSaoszar
CONWIAM
4a.,.
Signature of Applicant
m
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SUFFOLK CO. HEALTH DEPT.
H.S- NO. /#-
STATEMENT OF INTENT.
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM 'TO TAE STANDAROS OF THE
SUFI OULK CO- KEPT. OF ttEwLTH-SERVICES_
(SF
'APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
_ .SERVIC-ES,—E_O_R_ _ APP.R.OVAL._QF _
CONSTRUCTION ONLY
DATE:
H. S. REF. NO.: '5'0 - 159
APPROVED:
IPEARry
sva Fox
I.- .. . �.
�n tel.
a$Q" /M
_ .. =
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT- BLOCK PCL.
1_"_o D13 ----3
OWNERS ADDRESS:
80K 282
�Tzl'. X23-272l�
DEED. L.- - P.
Unauxherimd atteredon pr addltior
,doh tion at
to mic auvey ,stud"
Semon o tme New York Steae
-Education law.
t
1 of that sanay map
,
SUFFOLK CO. HEALTH DEPT.
H.S- NO. /#-
STATEMENT OF INTENT.
THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
CONFORM 'TO TAE STANDAROS OF THE
SUFI OULK CO- KEPT. OF ttEwLTH-SERVICES_
(SF
'APPLICANT
SUFFOLK COUNTY DEPT. OF HEALTH
_ .SERVIC-ES,—E_O_R_ _ APP.R.OVAL._QF _
CONSTRUCTION ONLY
DATE:
H. S. REF. NO.: '5'0 - 159
APPROVED:
IPEARry
sva Fox
I.- .. . �.
�n tel.
a$Q" /M
_ .. =
SUFFOLK CO. TAX MAP DESIGNATION:
DIST. SECT- BLOCK PCL.
1_"_o D13 ----3
OWNERS ADDRESS:
80K 282
�Tzl'. X23-272l�
DEED. L.- - P.
Unauxherimd atteredon pr addltior
,doh tion at
to mic auvey ,stud"
Semon o tme New York Steae
-Education law.
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embossed seal shag
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not be uanaii a
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is prepared, and an hip 6e4aH m Iba ..
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NOTES
1. Pool design is based on free draining granular soil with less than
1010/0 silt.
,,t,l �l. Pneumatically applied concrete shall be a 4 to 1 mint with a
maximum of 3.5 gallons of water per sack of cement.
3. if ground water is encountered during construction, a temporary
dewatering system shall be constructed. The system shall have a
.,, minimum of two 11/2 -inch diameter weep lines. Flow from the
weep lines shall be discharged on the premises in a temporary
recharge basin.
4. No spoil surcharge permitted within 4 feet of excavation.
5. Finished grade, shall slope away from the pool a minimum of/. -inch
per foot
6. All reinforcement shall be #4 bars, grade 40 minimum. All
reinforcemeor splices shall be 30 bar diameters Minimum.
-I, ,,lo n,v, R. E.a.rt9tACAT r LIF IIA1TTBq-