HomeMy WebLinkAbout32009-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31585 Date: OS/26/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 425 PRIVATE
(HOUSE NO.)
County Tax Map No. 473889 Section 15
RD #16
(STREET)
Block 8
ORIENT
(HAMLET)
Lot 32
SUbdivision
Filed Map No_
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 17, 2006 pursuant to which
Building Permit No. 32009-Z
dated
MAY 17, 2006
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 JOSEPH W & SUSAN S DUFFE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMEIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
63805
06/26/02
PLUMBERS CERTIFICATION DATED
N/A
~ori-::t!!::-
Rev. 1/81
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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lbis 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.
cDFinal Approval from Health Dept. of water supply and sewerage-disposal (8-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
. Sworn statement from plumber certifYing that the solder used in system contains less than 2/10 of I % lead.
5. Conunercial 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 nses, or buildings and "pre-existing" land uses:
I. 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~.- New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming po~ccessory 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. 5-18 -() (,
New Construction:
Old or Pre-existing Building:
4~5 fvt-e- U -iF/b
( check one)
Location of Property:
House No.
Street
OfUtv\ff-
Hamlet
Owner or Owners of Property: 3'D&eflA +-SU~Ov'l -()..-I-*
Suffolk County Tax Map No 1000, Section I 5 Block ~
3)..
Lot
Subdivision
Permit No. 3::lDOq
Filed Map.
Lot:
Date of Pet mil.
Applicant:~_
Health Dept. Approval:
Planning Board Approval:
_ Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
~'-). 00
Applicant Signature
&>-K-. 70 J.. 5.5
CO;C3\ S~ 5
Electrical Inspection Certif'i
!ll!N
6/26/2002
Electrical Inspection Service, Inc.
375 Dunton Avenue
East Patchogue, New York 11772
(631) 286-6642
Application #
63805
Issued to:
Street:
Mr. J. W. Duffe
425 Little Bay Road
. ._lLillag.e: . 9Jien~"_ ..
^'F."",,""" ""''':;:;?,<,:":,}:,",,.,-",il~:~~',k':':'!:i'''''~, _"',,'In)' ~'G.~h.i!iI'1 r--r
Section: Block:
Zip: 11957
Lot:
Town: Southold
_....,,,.~c-._.-
Introdu~ by: R. C. Electric Corporation
Uc.# 161G-E
was examined and found to be in compliance with the National BecIricaI ~ /lFPA 7lJ
'-.J Commercial ~NV Defects ~ Pool [J 1st Floor [Jlndoor =Basement = Hot Tub
~ Residential [J Del. Garage OAttic o 2nd Floor OOutdoor = Addition =Survey
Switches Receptacles
1 1
D~hwasher MfashedAmp
GFI
1
Oven Range/Amp Garbage Disposal
Fixtures
1
Dryer/Amp
AiC
Fans
Heaters
Furnace
Oil Gas
Circulator Smoke Detector
Bell Transformer
IifelIw
Telephone
Carbon Monoxide
Television
I(;:p~
Hugo S. Surd;
F " President
Rough Inspection: 6/18/2002
Inspector: Ed Scavelli
Final Inspection : 6/25/2002
Inspector: Ed Scaveili
This certificate must not be altered in any manner. Inspectors may be identified by their credentials
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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.
32009 Z
Date MAY
17, 2006
permission is hereby granted to:
JOSEPH W & SUSAN S DUFFE
255 PALM DRIVE
NOKOMIS FL, 34275
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR. THIS PERMIT REPLACES BP28233.
\
at premises located at
425 PRIVATE RD #16
ORIENT
County Tax Map No. 473889 Section 015
Block 0008
Lot No. 032
pursuant to application dated MAY 17, 2006 and approved by the
Building Inspector to expire on NOVEMBER 17, 2007.
Fee $
150.00
I~ CJL
Authorized Signature
ORIGINAL
Rev. 5/8/02
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MAY 2nd ,2006
Joseph W. & Susan S. Duffe
255 Palm Drive
Nokomis FL, 34275
RE: 425 Private Rd. #16
S.C.T.M. # 0150008032
Dear Mr. & Mrs. Duffe,
Please be advised that your Building Permit # 28233 issued April 2nd, 2002 has expired.
According to the Code of the Town of South old, a Certificate of Occupancy must be
issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00 At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
I~
K. Miller
Clerk Typist
.3 ;}-oo1 L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING/STRAPPING N'FIN~L ~tn{
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
INSPECTOR ~ ~
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FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
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ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
COMMENTS
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER'- STREET VILLAGE DIST. SUB.
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DATE
REMARKS
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Woodland FRONT AGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER . .. - STREET VILLAGE DIST. SUB.
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IMP.
TOTAL
DATE
REMARKS
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Tillable \.6\5'~ \,J;)'"j:,. (C!y) \ I\~ FRONTAGE ON WATER
Woodland FRONT AGE ON ROAD
Meadowland DEPTH
House Plat BULKHEAD
Total , 1%"\
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Extension Basement Floors
Extension ti' 'ih:1 , (y''I F.:xt. Walls VI...." \ Interior Finish
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Extension F ire Place I Heat "as l\fA
It! ,; ~~\~ \J 4;
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Deck "lS"O ,is Lo~ Patio Rooms 1st Floor ~,,(,,\.\.. ,: ~~: ....., " '1
p)'I~' : ~. . l.~' ."
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Breezeway Oriveway Rooms 2nd Floor ~ (, -. ( 1'-
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24 '1.2-4 " C;71c ~
O. B. 99Lfo 5/90
ID040 ~!c;CJ
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
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PERMIT NO. Z~t"$~
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved
Disapproved ale
20 z,.,
,~
,20 't/
Mail to:
,20
Phone: /'Z (- 3bl-CI7DO
Ct1Ji uJh tfL rlAi} MId..
Ina-/ 'l f-b: "*
Expiration
~
APPLICATION FOR BUILDING PERMIT
3\~
,2~
Date
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building llspector 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 fuspector 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 llspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced witbin 12 months after the date of
issuance or has not been completed witbin 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building fuspector 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.
@9/
<<:,,~ (Signa4lre of 8lJillicant-9f 1lll1ll", if a cOlporation)
-'WI'" O~4111"11()1 H/V-r
~ ~l-n )/Ylltvltoi.oil 15~ ~((1It':eH~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
e Or'\. tV &.t-01
Name of owner of premises .:Joseph 'Du~Xe..
(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.
Plumbers License No.
Electricians License No.
Other Trade's License No.
121\1 H:r
hrMU>. .~ ~crt-..
I. Location of land on which proposed work will be done:
47C:; w\-\\e. P>Au Rood-.
House Number S&eet
6(,elot*' POIt'\-\-
Hamlet
County Tax Map No. 1000 Section /5
Subdivision h,lI-(.. P1~ ('i>hk~
~
Block If?
Filed Map No.
Lot 32
Lot /
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy t Fl1ml1y Ke:,ldevttu{>'
b. Intended use and occupancy :5 A \'VI. e.-
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
~/h ()OO
/
Addition Alteration
Other Work 5.uIVVlrYIlvtJ5 ?bot.-
e '''/;<40' ) ( escription)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7 Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size oflot: Front
3g0
Rear
3'30
Depth
c:;/;) . S I
10. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X
13. Will lot be re-graded? YES_NO L Will excess fill be removed from premises? YES X. NO_
't 0 '-(P. r w..t:<;up, 501 '0 v
14. Names of Owner of premises -Jos.€.VI1 u/1_ Address ?bW"'is~la.> Phone No. 0 - ooro
Name of Architect Address Phone No
Name of Contractoa>Q)\IV\1Iit' Addressl2111 ~l),ll\11towl'l eu.o Phone No. 3<, l- Q 700
NeSCO"s-et-, w~
IS a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO L
* 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 OF )
1\ 1c.\t\eVd Sit I; <- being du1y sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is du1y 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.
20~
~
Signature of Applicant
AMY LATTANZIO
Notary Public, Stat!! of New York
No. 01LA6030584
Certificate filed in Suffolk County
Commission Expires Sept. 13, 20JlV'
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DETAIL A
WALL BRACE
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STeEL WALL PANEL '
UNDISTURBED EARTH
2- BOTTOU MATERIAL
~',,7:112 II .4 1/2 . 12"
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J/8" REBAR
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GALVANIZED -ANGLE
NOTE: BACKfilL TO BE';~'P~;"GRAVEl.
OR OTHER NON::,~""IVE UATERIAL
A
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTlFICriTE
OF OCCUPANCY
L-DETAIL A I
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"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
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CARDINAL SYSTEMS
269 S. RT. 81 '(717) 385-4733
SCHl/'tlKILI. HAllEN. P,,",., j.;." (717) 385-1318 f/V(.
DATE: 2-18-97 ~",R CORNERS
SCALE: NONE ,Jli;/,'" <iRECTANGLE
DAAWN: D.O. RECT6RC
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