HomeMy WebLinkAbout31889-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31973
Date: 10/30/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1905
(HOUSE NO.)
County Tax Map No. 473889 Section 103
STILLWATER AVE
(STREET)
Block 8
CUTCHOGUE
(HAMLET)
Lot 1
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 4, 2006 pursuant to which
Building Permit No. 31889-Z
dated
APRIL 5, 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 CHESTER FRISZOLOWSKI & WENDY JAMES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2955
06/12/06
PLUMBERS CERTIFICATION DATED
N/A
44U~
~orized Signature
Rev. 1/81
375- 07c27.
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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.
,1
B. For existing buildings (prior to April 9, 1957) non-conforming uses, 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
I. 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
0Lu I YY\~ l ~~ PO 0--(
New Construction: ' Old or Pre-existing Building: (check one)
Location of Property: \ q()~ ~ I \ U 10 Ir r ~ f' _
House No, Street Hamlet
Owner or Owners ofproperty: \.).. \ 0 ~ ~ cl- CU~t--ew' <;=-If ~ 50('00).. 'S lr A ...
Suffolk County T"1' Map No I 000, Section J ~ Block '8 Lot I
Date,
IO-?0~
Subdivision
Permit No, ~ \ '1? '6 ~ C Date ofpermit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Filed Map,
Lot:
Applicant: ~\'"", ":_AAco \?~
J
Underwriters Approval:
Final Certificate:
./
(check one)
~.7/J.51
co~31173
SUF:fOLK
BUREAU
;, ~. ~, r c: -. Ci :( ::
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 . Fax: 631 980 6455 . E-Mail: SBEIGS@gmall.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Hanks Electric
Rough In Inspection Date: 5/27/2006
Application NO: 2955
Suffolk County Tax Map NO: 103 8
1
Final Inspection Date: 5/27/2006
Certificate NO: 2955
Building Permit NO: 318892
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical
equipment and/or work described below, installed by the applicant named above, located at the premise
of and not after the final inspection date above:
Owner: Wendy James
Address: 1905 Stillwater Ave, Cutchogue, NY 11935
Address of Inspection Site: 1905 Stillwater Ave, Cutchogue, NY 11935
X Residential
Commercial
New
Addition
Service 10
Service 30
Main Panel
4 Ckt Sub- Panel
Disconnects
Transformers
Twist Lock
Indoors
X Outdoors
Renovation
Survey
Basement
1st Floor
2nd Floor
Allie
Heat
1 Time Clock
Hot Water
GFCI Breaker
Dryer Recpt
Exhaust Fan
TVSS
Inventory
Duplex Recpt
2 Switches
1 GFCI Recpt
1 Single Recpt
Range Recpt
Appliance
Heat Pump
Other Equipment: 1-Chlorinator
Service
X Pool
Hot tub
Garage
Shed
Other:
Ceiling Fix
Wall Fix
Recessed Fix
Fluorescent Fix
A/C Blower
A/C Cond
Electric Heat
HID Fix
Smoke Det
Co Det
1 Pump
Emergency Fix
Exit Fix
2 Pool Luminaire
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant: Hanks Electric
Inspected bY~.7'
Signature: . . ~
License No:
Date of Certificate: 6/12/2006
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.
31889 Z
Date APRIL
5, 2006
permission is hereby granted to:
CHESTER FRISZOLOWSKI
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
CUTCHOGUE
at premises located at
1905 STILLWATER AVE
County Tax Map No. 473889 Section 103
Block 0008
Lot No. 001
pursuant to application dated APRIL 4, 2006 and approved by the
Building Inspector to expire on OCTOBER 5, 2007.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
J I yg ~ L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
REMARKS:
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL A ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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IOr~7 --of:,
DATE
INSPECTOR~~
3/ ~ y~ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [] ROUGH PLBG.
] FOUNDATION 2ND [] INSULATION
] FRAMING/STRAPPING [)4 FINAL f'~
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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DATE
INSPECTOR
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FkLl)INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMlNG &
PLUMBlNG
,
lNSULATION PER N. Y.
STATE ENERGY CODE
FlNAL
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COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoIdI
Expiration
,20_
72
BUILDING PERMIT APPLICATION CHECKLIST
Do yon 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: ~
Mail to:.~\ .ullYJ 0 is
4-11~.e.- A-
0>du.-I ,?+
..,L\l.j-lfIOO
.
PERMIT NO.
~ m-rz
Exantined
Approved
Disapproved alc
,2i
,20~
Phone:
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APR -~:: ~S
. .' . . ....~ INSTRUCTIONS
~ppii(;'~tionMUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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 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.
. APPLICATION FOR BUILDING PERMIT
Date l.f - =6-D to
,20_
(Signa e of apphcant or name, if a corporation)
4-1\ (2,r!- 26A- Qo~ P f-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
C-eJnM~
Name of owner of premises uJe..rui~llVY\t S
(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. Jt,\41:;)'" H.
Plumbers License No.
Electricians License No. ~lu /6 G-
Other Trade's License No.
I. Location f land on which proposed work will be cjpn~:
1 O~ - \\uJ~ f'N~
House Number Street
(Name)
I O?".. ' .' i~lock ~
X,;', ,;0 ::~Iiled Map No.
Lot
Lot
,
County Tax Map No. 1000 Section
Subdivision
2. State existing use and occupancy of premises and . tended use and occupancy of proposed construction:
a. Existing use and occupancy 51,",~.e... ,', rLS,Glen
b. Intended use and occupancy Slfle}.e. ~ "L-f (LS\i~ CL"
3. Nature of work (check which applicable): New B,,;Jd.ut\ POD L- IS} ~~if~
Repair Removal Demolition Other Work
Alteration
4. Estimated Costl6 I ()J)l) r
(Description)
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
Depth
Rear
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
Depth
Rear
9. Size oflot: Front
Depth
Rear
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 uJe-ndLtJOJ'Y\.t'?> Address l'to'5 &ti IloJokr pfu/tfe ~f-~1~"
Name of Architect ~~Jo~ Address 116 L\ bcwh.1 ~"JPhone NO~IO '5
Name of Contractor ndl .(~ Addressm~'t.~2.'51'T Phone No. ~O
11/~t
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 OF) , _ ~,t20de.a.er} CQYl+t~r
~ JO-n'leS (' rI '5'2...01 Dw6t'being duly sworn, deposes and says that (s)he is the applicant
(Name ofindlvidual signing contract) above named,
(S)He is the
l
. ~ V- Lor'\.-\vacl- b(""
(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 thi
S day of
&lu~,., 04/1 n~po>u
Sl t Applicant -
KATHLEEN QVIGLEY
'NOTARY PUBLIC. Stale of _YOlk
No. 010tJ6124'24
Oualiflec! In SutIaIIc ~
COmmission E>IllinIa Aj1d125.20.Q,.1
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SURVEY OF PROPERTY
SITUATE: GUTGHOGUE
TOWN: SOUTHOLD
SUFFOLK GOUNTY, NY
SURVEYED 0'1-28-2005
SUFFOLK COUNTY TAX #
1000-103-8-1
.
Lond NoY'! or Fo~~ehr lYe F~ Lodemonn
L dermonn 11- I-,IC 0 .
Elizobeth A. 0
d NoY'! or Formerly of:
Lonh L V'lick 11- Steven B
Debof"o .
Hick
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CERTIFIED TO:
0Ieste< FriszoIowski .
Wendy James Friszo1owski
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NOTES,
PROPOSED ACTIVITY HILL OCCUR OUTSIDE THE
FEMA FLOOD ZONE AS SHOHN ON MAP 36103COl63 is
AREA = SCl,680 SF or 1.310 Acres
.dD
JOHN' C. EHLERS LAND SURVEYOR
N Y S LIe NO, 50202
6 EAST MAIN STREET . " .
RIVERHEAD, NY 11901
369-8288 Fax 369-8287 REF.-Z:lprosI05105-319.pro___-
6RAPHIC SCALE 1"= 40'
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NOTES
l. S1?UCtJl'E1S02S!a':C:Of~useIJB.J)HCP..J.t7f.Awor-.LYNm!6V..n~ Q-tCP.QJt>V
W;,rr2. m),-~ 1$ A I-IlWAlM Of -1'.e" lJfW.... l'rt ~or.hf;O i'lN~ C1<JOl.
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~. w;'fE~ C'Si'!n.'L ~.!.l Of WIlt<:O rOOM.-eeSi-P.CIP€?rf rO'1!lrLG()J~ l.'taJ..MO'.5
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
j
SOUTH0LD TOWN ZBA
SOUTHOLD TOWN TRUSTEES
N. V.S. DEe
Ra.L-ftJ fONA Bff1l\,ffN
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WALL SECTION
UNDERWRITERSCERTIACATE
REQUIRED
APP 0 ED AS NOTED
DATE: r B.P.#,~)8'7Z
FEE: u oJ BY: ~
NOTI Y BUilDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE
FOllOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION 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.
CERl iFICATION OF
NAILING & CONNECTIONS
RE
rOflLftP.
fP..OM FL,eR
'" fROM 5K~E'R
rY- flfl'''WRJMP
raw"" ~raR"'JR1'5
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
COOES OF NEW YORK STATE.
PLUMBING SCHEMATIC
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