HomeMy WebLinkAbout31387-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 07/18/06
NO: Z-31685
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1405
(HOUSE NO.)
County Tax Map No. 473889 Section 64
FOUNDERS PATH
(STREET)
Block 4
SOUTHOLD
(HAMLET)
Lot 17
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 17, 2005 pursuant to which
Building Permit No. 31387-Z
dated
AUGUST 23, 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 CELESTINO & BRUNA BASTIJANIC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
105757C
01/25/06
PLUMBERS CERTIFICATION DATED
N/A
~~
Authorized Signature
Rev. 1/81
Form No.6' C -.--'C':>
TOWN OF SOUTHOL:(J I " !" \ i
- I
BUILDINGDEPARTME~T ~ I
TOWN HALL JUt , 4 Vb i
765-1802 J"
APPLICATION FOR CERTIFICAT:t~.nC.c1!EANqk;~
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
.
~ .
~
A. For new building or nfw use:
I. 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 Undetwriters,
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead.
S. Commercial building, industrial building, multiple residences and similar buildings and installations, a ceIiificate
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
S, Temporary Certificate of Occupancy. Residential $15,00, Corrunercial $15.00
Date.
tlrr ~ ("
New Construction:
Old or Pre.existing Building:
x
(check one)
.sO\A.~\J.
o ,'11
Hamlet
Location of Property: _\4 D 5
Owner or Owners of Property:
'fou ~\t:)~ ~~
House No. Street
Ce.\ e.s\:~,(>)
6'1
~
~'(l LI LIA
Suffolk County Tax Map No 1000, Section
Block
\:>\l\.."bDj Ahi Ie
/..f Lot 17
Subdivision Filed Map,
Permit No, ~ \'::)~q Z DateofPelmit. 8/2.3/05 Applicant: ('ek9t7N()
Lot:
~" ,
n III~, C'
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for: Temporary Certificate
<15. e>e>
Fee Submitted: $ L...
Final Certificate:
X. (check one)
~~. ;;kf",
Applicant Signature l:::.
&--.v:- .le 5'O'b'
c.o -2: 3/Co85
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.
31387 Z
Date AUGUST
23, 2005
Permission is hereby granted to:
CELESTINO BASTIJANIC
25-44 41ST STREET
ASTORIA,NY 11103
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR
at premises located at
1405 FOUNDERS PATH
SOUTHOLD
County Tax Map No. 473889 Section 064
Block 0004
Lot No. 017
pursuant to application dated AUGUST 17, 2005 and approved by the
Building Inspector to expire on FEBRUARY 23, 2007.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
3 f 3 '67 Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATIO,..J". ~
[ ] FRAMING I STRAPPING [)(.FINAL ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS CTION
REMARKS:
b-b,-1)~
DATE
INSPECTOR ~ ~
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FIE'tD INSPECTION REPORT DATE COMMENTS W"ll
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FOUNDATION (1ST) --,.~_._--- 00::;
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ROUGH FRAMING & ..- I"l
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INSULATION PER N. Y. f-. I5
STATE ENERGY CODE :t
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JAMES K. MORROW, JR., P.E.
DESIGN
PERMITS
INSPECTIONS
2066 BEDFORD AVE. . NO. BELLMORE, NY 11710 . (516) 785-8032
August 8, 2005
Town of Southold
Department of Buildings
Re: New lnground Swimming Pool
Drainage Facilities
1405 Founders Path
Southold, NY 11971
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,
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OFSOUTHOLD
NG DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO. 315??..p-
1 c'~-D:} _. ~_.- -~~TC:"~~PLICA TION FOR BUILDING PERMIT
i:,' AUG 112005 ",' Date z/nJ
iLL!, INSTRUCTIONS I
a.lhiSl~l(catiP~MUS! b;c.Oll\PletelY filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of pla~ plot plan to scale. "Fee accordmg 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 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.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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. I
.--
Examined
Approved
Disapproved alc
Mail to:
Phone:
Expiration
,20~
, 20Q5....
c-~~
/'II tJS Fol'/V /).G,c OS p#//I
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OLDt0EK:
Name of owner of premises Ce..\e.~i\t\)(') ~ beUNA ~A-'zi:.ild 1HJ\G
(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.
I 517 J tf:L
1. Location ofland on which propose
6S r-Ol..lI0~e s,
House Number Street
Hamlet
County Tax Map No.1 000 Section () 6 Y , 0 C>
Subdivision
Block e:>Lt ,00
Filed Map No.
Lot 0 I '1 . 000
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
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
OtherWorkJ:NG-fuUN!b. Fr'nL
(Description)
4. Estimated Cost
~f dwelling, number of dwelling units
If garage, number of cars
Fee
(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 ofuse.
r;(' Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
~ Dimensions of entire new construction: Front Rear
Height Number of Stories
Rear
Depth
9. Size oflot: Front
Rear
Depth
10. Date of Purchase
Name of Former Owner JAm c--':;
{4ppJ ~
II. 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 bere-graded? YES_ NO_Will excess fill be removed from premises? YES_ NO_
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
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)
SSe
COUNTYOFft~y )
~ell ~'f->,. ~ '"\;, A W \C being duly sworn, deposes and says that (s)he is the applicant
(Name of individual sigru g contract) above named,
(S)He is the
Ow~(~
(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.
ST="~ M-
~ 20~
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Notary Public
Richard R_o
Notary Public Stata Of New York
No.01RE6004998
Q"c~ified In Nassau Counfy
Cc';::,' 0 i':!"~ In Nassau COU?1~
(;i,).-'i.~.~"",_....... L:.~,q:)lres March 30, 20 .
,
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFF
OF OCCUPANCY
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~O\tt.1~'coo~
,.\tAlA ~ \,001.. \~\ON
~NCI..O~N cO~~P.\~<<
u~~rO?-~
DATE'
FEE: . BY.
NOTIFY BUllDi~IG ,c c,
765.1802 8 AM TO 4 PM FOR T
FOllOWING INSPECTIONS:
1. FOUNDATION. C .:J REQUIRED
FOR POURED CC"<>'TE
2. ROUGH. FR;:.:\, " ,U:';BING
3, INSULATION
4. FINAL. CC' ""~T':>~j MUST
BE CO'/i .c., . (j,
All CONS, .iUe, ;uN S.'i;U ~JEET THE
REQUIREMEiHS OF THE ( : 'JES OF NEW
YORK ST~ -E, NOT RESh)NSIBlE FOR
DESIGN OR CONSTRUCTION ERRORS.
" . 17 "UWTEC ON NO. 1000H CLl.UpfUNT .
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1, NE~~~~~~~~NE~g6ES
AS BIa IR D AND CONDITIONS OF
--.----
SOv7HOLD TOWN 25ft,
SOL',OLD TOWN PLANNING BOARD
UTHOLD TOWN TRUSTEES
N,Y.S, DEC
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
COOES OF NEW vORl< STATE.
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FLOOD ZONE
COMPLY WITH CH E' 46"
FLOOD DAMAGE PREVENTION
-"::'T"(PiCAl..WA\,\:....!>>~t N.w.\'bl't
(MA.)(._~Ae.;w,,-;. .... ')
1--2' 2"---1
'1
, 14 CA. GALVANIZED-
SlEEI. WALl. PAND.
1~1".~Ic...~ u.~V. A.lc.\.t.. O~
,c.jb~cu..... 'I . "'L"1.tIo.1X.D ~O.,
-r BOno... ......TtRIAl.
42"
UNDISTURBED u.RTli
~ ~ll ... 4. c:...~It1"'OU!a
,e..(l4~1U.16. t.o....ua.R.
7 1/2 . 4 1/2 . ,-r
BDJlJNG PlATt
1 1/-r . 2~ . I. CA.
GALVANIZED ANGtL
"'MM
ENCLosfPdtL TEL Y"
UPON COMPL~~/50DE
BEFORE "WATER.N
NOTt: BACKnu. TO BE SAND. CAA~l.
OR OTHER NON EXPANSM ......TtRW..
"5E.CTlorJ A.-A
I\lT~
NOTES:
I.
NO SPOIL SURCHARGE PERMITTED WITHIN 4 FEET OF EXCA V A TION.
FINISHED GRADE SHALL SWPE A WAY FROM POOL A MINIMUM OF \'..
INCH PER FOOT.
THIS POOL MEETS THE REQUIREMENTS OF ANSIINSPI.5 . AMERICAN
NATIONAL STANDARD FOR RESIDENTIAL INGROUND SWIMMING POOLS"
AND SECTION 421 OF THE BOCA CODE. DIVING EQUIRPMENT IS
PERMITIED.
2.
3.
STANDARD DETAILS - STEEL WALL POOLS
SCALE:
NONE
AP~OVED BY:
DRAWN'" JKM
CATE: ~5u
PREPAREDFOR: _,\40S t:...\J..)T)U.L..e~T~
~l.I1'W:>'-D._t_t>),< II'" \uu
:PREPARED BY: JAMES K. MORROW, JR., P.E.
1066 BEDFORD AVE.
NORTH BElLMORE. NY 11710
REVISED
WARNING - IT IS A VIOLATION OF SECTION 7209.2 OF THE NEW YORK STATE
EDUCATION LA W FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF
A LICENSED PROFESSIONAL ENGINEER, TO ALTER THIS ORA WING IN ANY WAY,
DRAWING NUMBER
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