HomeMy WebLinkAbout31440-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32072
Date: 12/13/06
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 345
(HOUSE NO.)
County Tax Map No. 473889 Section 79
COLONIAL RD
(STREET)
Block ~
SOUTHOLD
(HAMLET)
Lot 26
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 9, 2005 pursuant to which
Building Permit No. 31440-Z
dated SEPTEMBER 16, 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 THOMAS H & JEANETTE HARRIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
2283
12/11/05
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
Form No.6
TOWN OF 80UTHOLD
BUlLDING DEPARTMENT
TOWN HALL
765-1802
N'-~
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:
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 (8-9 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.
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 applicanl. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicanl.
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
Date.
New Construction:
Owner or Owners of Property:
--rH O.v/ AS
079. ()CJ
Old or Pre-existing Building:
l<..IJad
1-1. of-.;;r <=2t~ tie .tj
.
Block CJc,.o 0
t""""-
(check one)
.
Location of Property:
?~
I-louse No.
{..4!M la-I
Street
~<<--6'(~/L
Hamlet
Suffolk County Tal' Map No 1000, Section
I
A-/LR- 6
Lot CJZc".60
Subdivision
_ Filed Map.__
Lot:
Permit No. . 3/1'-10 E.. Date of Permi!.________ Applicant:__
-- ---.----,--- .------
Health Dep!. Approval:
Planning Board Approval:
__ Underwriters Approval: _____________
Request for:
Temporary Certificate
Final Certificate:
Fee Submitted: $
~.h,03
C 0 'C 3;10 7 2.,
SUFFOLK
BUREAUof
ELECTRICAL
INSPECTORS,inc
40 Nottingham Drive, NY 11953
Telephone:1 631 495 8136. Fax:1631 980 6455 . E-Mail: SBEI1@hotmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Raymond Electric
Rough In Inspection Date: 12/2/2005
Application NO: 2283
Suffolk County Tax Map NO: 79 6
26
Final Inspection Date: 12/2/2005
Certificate NO: 2283
Building Permit NO: 31440
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below and installed by the Applicant named above, and located at the premise of:
Owner: Harris
Address: 345 Colonial Rd, Southold, NY 11971
Address of Inspection Site: 345 Colonial Rd, Southold, NY 11971
X Residential Indoors Basement Service Shed
Commercial X Outdoors 1st Floor X Pool Other:
X New Renovation 2nd Floor Hot tub
Addition Survey Attic Garage
In,ventory
Service 10 Heat Duplex Recpt Ceiling Fix HID Fix
Service 30 1 Time Clock 2 Switches Wall Fix Smoke Det
Main Panel Hot Water 1 GFCI Recpt Recessed Fix Co Det
8 Ckt Sub- Panel GFCI Breaker 1 Single Recpt Fluorescent Fix Pump
Disconnects Dryer Recpt Range Recpt A/C Blower Emergency Fix
Transformers Exhaust Fan Appliance A/CCond Exit Fix
Twist Lock TVSS 1 Heat Pump Electric Heat 1 Pool Luminaire
Other Equipment: 1-Minerlizer (pump winterized at time of inspection)
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: Raymond Electric
Inspected by: /)~r' Surdi
Signature: ~ .
License No:
5141-ME
Date Certifiate Date: 12/11/2005
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.
31440 Z
Date SEPTEMBER 16, 2005
Permission is hereby granted to:
THOMAS H HARRIS
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at
345 COLONIAL RD
SOUTHOLD
County Tax Map No. 473889 Section 079
Block 0006
Lot No. 026
pursuant to application dated SEPTEMBER 9, 2005 and approved by the
Building Inspector to expire on MARCH 16, 2007.
Fee $
150.00
~ ()JJL.
! Authorized Signature
ORIGINAL
Rev. 5/8/02
31 V'f 0-2::-
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] I~LATION
[ ] FRAMING I STRAPPING [~NAl
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
((/~/o~
/ /
INSPECTOR,
3/If'f-o Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [>Q FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE INSPECTOR .......--- ~ /'" ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING rp<1 FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTIO
r
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DATE f-ILf- O~
INSPECTOR ~ ~
d I SLc,LO
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~ULATION
[ ] FRAMING I STRAPPING [J('FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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REMARKS: Ail. ~ 0-J~~
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FIELD INSPECTION REPORT DATE
COMMENTS
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BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
31'/fo c:
Do you have or need the following, before applying'?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Seplic Form
N.Y.S.D.E.C.
Trustees
Contact:
Maillo:S
1.\1 \ <-2619-
Phone: 144 ~ IDO
Examined
Approved
Disapproved ale
r~/;~
,20~
,20 (})
Expiration
'3 / / i.p ,20 07
.t~~
" Building Inspector
I
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r' jl -l,.'J .
1\ ._" \'.
'- \'1 J:
l"O - 9 ~;A.PPLICATION FOR BUILDING PERMIT
. ,...~.-.,.1)"-j \ \ Date (Q/7nt q
. 2.--l INSTRUCTIONS ~
~
,2005
/';IMMEDIA TEL V"
'ENCLOSE POOl. TO CODE
UPON COMPLETION
BEFuRE "WATER"
L
iL-:i-'
a, This application 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 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 IlIon herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing co e, d re lations, and to admit
authorized inspectors on premises and in building for necessary inspections.
..... ....... ALl CONSTRUCTION SHALL
.'\ -Ml!EI'TI1E REaUIREMENTS OF THE
! CODes OF NEW YORK STATE.
~~1E
/
C' -.J}ilailjp~1dr~ of plicant)
~rl. . /177/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, lumber or builder
QW fle.v-
I I . APPROVED AS NOTED
11afn OS . DA ~~~/:f 3' "f
(As on the tax roll or latest dee'fIf- " ::1.1-. # / fu-'C.-
If applicant is a corporation, signature of dU~ FEE: I '>1). ~.. Pc... j L
OR NOTIFY BUllDINt OF JA,irMENT AT
(Name and title of corporate officer). 'SE IS "..n A1W.FUl 765-1802 8AM T0 ,. "M FOR THE
U Uf'U'\. FOllOWING INSPE('T:DNS:
" '11 I I l'E 1. FOUNDATION - THO REQUIRED
BUilders License No. 0\ J n TIFICA FOR POURED CONCRETE
Plumbers License No. ~Cy 2. ROUGH. FRAMING & PLUMBING
Electricians License No. ~ 18 r;:;.. 3. INSULATION
Other Trade's License No. WATER RUNOFF 4. FINAL - CONSTRUCTION MUST
PURSlJAN r TO SECTION 45-10C' BE COMPLETE FOR C.O.
Qf Jt1FbTQW~ODE. (J ALL CON~I~~OLN SHAll MEET THE
00 0 EQUIRE~'fl!) pf THE CODES OF NEW
Haml~SIGN OR CONSTRUCTION ERRORS.
.9,10
Name of owner of premise~m
1.
which proposed
I
Street
House Number
County Tax Map No. 1000 Section
Subdivision It;" ~\l\fu)
(Name)
iq
Block (p
Filed Map No." I .
Lot
Lot
'1'>'('
";;r,,".:J".
:.)J/t)It:.'<,
,; :..1\ ~" ~,
State existing use and occupancy of premises a7~ inr:;:Quse and occupancy of proposed construction:
a. Existing use and occupancy 5vn f)~ IlJ 1 f..t SI drutR..P
b. Intended use and occupancy ~Y)~J) msclLYld POD \ AD'iG3i hw~\f\ I.QJ<.f>
Nature of work (check which applicable): New ~ ~ \ V" Addition Alteration
Repair Removal Demolition Other Work
(Description)
Estimated Cost~J6. 000 ./
.
Fee
I. 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
), 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
3. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
~. Size oflot: Front
Rear
Depth
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~
13. Will lot be re-graded? YES ~O _Will excess fill be removed from premises? YES_NO /
14. NamesofownerofPremis~AddresS~~~~6nl trJPhoneNo. clotS - Lf13~
Name of ArChitec~i.o~n~; Address~_" Phone No ?>~I- :;l.lQ6
Name ofContrac~r~.____ ~CW Address ' Phone No. ~
15 a. Is this property within 100 f:et of a tidal wetland or a freshwater Srr;l\()l.,\ NO V
* IF YES, SOUTHOLD TOWN TRUSTEES &,D.E.C. PERMITS MAY.I3E-REQtJiRED. -""'r:.r~ j"f.>,h ';'MM'
'. "',..- .~. .
* b. Is this property within 300 feef'of a tidal wetland? 31xa~" :':;~t.I~'q~1 ',~,::,,'::,;;::;,;:,
IF YES, D.E.C. PERMITS MAY BE REQUIRED. 03!l1U03R ':"1'," ,'I
i'~. .;
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.
5T A TE OF NEW YORK)
55:
COUNTY OF )
~I'Y\ B(LVY \ S pi:ing (i!1l!yswQnil~wb~6s\and says that (s)he is the applicant
(Name of individual signing contract) above nam'(d, :t .. .-., ,~; .-
.i.hWA.)~'lU c.,j .1C:V
(5)He is the l}.l~ "'," . ., '~'". -.., ,... I "
(Contractor, Age
, .
of said owner or owners, and is duly authorize4l? perfoIW or 'ha~e p~rf6rrheoth~'said work and to make and file this application'
that all stat~ments contained in this application' are true to the best of his knowle4ge and belief; and that the work will be '
performed m the manner set forth in the application filed therewith. ' . ' ,
20tS
of Applicant
KA1'HLIIN QUIGLEY
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llo, 01QU8124'24
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.....-_AlMtI25,2014
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SIDE OR END
STEPS OPTIONAL
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SEE TYPICAL
WALL S ECTIOH
SECTION
24" MAX
r FORM TIE
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FORM TIES
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3500lb
POURED CONCRETE
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SI<IMMERS ~
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. f"ILTERand PUMP
TO RETURNS
TO WASTE
FROM FILTER
PIPING
ARRANGE MENT
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STEP
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OPTIONAL
TYPE
.
NOTES: PROPOSED POOL FOR:
WALKS TO BE SMOOTH, NON-SKID TYPE
SLOPED AWAY FROM POOL.
WATER DISPOSAL SHALL BE LIMITED TO
OWNERS PROPERTY TO SUIT LOCAL REGULATIONS.
CONTRACTOR:
RANDY T. RODECKER, INC.
SWIM KING POOLS
ROUTE 25A,
ROCKY POINT, NY 11778