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HomeMy WebLinkAbout32873-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32463 Date: 07/13/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 275 (HOUSE NO.) County Tax Map No. 473889 Section III WEST COVE RD (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 2007 pursuant to which Building Permit No. 32873-Z dated APRIL 2, 2007 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 THEODORE C MARTZ JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1l5590C 05/30/07 PLUMBERS CERTIFICATION DATED N/A ~-~ ~ Auth~iz Signature Rev. 1/81 . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 (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 2/1 0 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 Aprll9, 1957) non-conforming uses, or buildings and "pre-existing" laud 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. 7 c. Fees / I. Certificate of Occupancy - New dwelling $2S-.QO, Additions to dwelling $25.pO fJ ~aWl.~ to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory'~l' ., $22.CiO, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 :)...... "" 3. Copy ofCerti.ficate of Occupancy - $.25 JU ' , B ,. J" U I 4. Updated Ceruficate of Occupancy - $50.00 . U 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15. tlL L EF.. I ..,'-- ~ !ILfiOL~ i Date. "'- ~. New Construction: Ol? or Pre-existing B'Ading: Location of Property: dl$' ~L1Jf';::t)~ / House No. ~crt ~~ Owner or Owners ofProp~ I ~ . ~ '\ . Suffolk County Tax Map No 1000, Section I \ \ Block 3 Lot -1- Subdivision -=z.1:i Filed Map. ~ Lot: Permit No. ~1~ Date ofPermit.~1 61 Applicant: ,\lLN~ . (c~U(L Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: + / (].JJ./'l 'J.\ ~ C'6:C~9.~~) Electrical Inspection Certificate Application 115590C Electrlcallnspectlon Service, Inc. 375 Dunton Avenue East Patehogue. New York 11n2 (831) 286-8642 Issue Date 5130107 Issued To: Street: Village: Section: Mr. Ted Martz 275 West Cove Road Cutchogue Block: Zip: 11935 Lot: Town: Southold Contractor: Neighborhood Electrie Lie. # 40154-ME Was examined and found to be In compliance wtth the National Eledrical Code. o Commercial 0 NVDefecls 00 Pool 00 1stFloor 0 Indoor 00 Basement 0 HotTub ~ Residential 0 Del Garage 00 AttIc ~ 2nd Roor 0 Outdoor 0 Addition 0 Survey Switches Receptacles Rxtures 44 47 31 Dishwasher Washer/Amps DryerIAmps 1 1 20 1 30 FumaCfl 011 Gas Circulators Air x 2 Meter Amps Phase UGIOH Jacuzzl 1 200 1 I Bldg. Permit: 32634 Other Equipment o amp Spec. Rec. -30 amp Ale Disc. -15 amp Air Handler GFI Heaters AIC Fans 8 9 Oven Range/Amps Microwaves 50 1 Smoke Detector Bell Transformer 7 Television CO Detector 2 H~:t!J~ Pres/dent Rough InsPection: 04lO4I2007 1nspedXlr. John Me Mahon 1\1 Anal InsiJ<id;oO: Inspector: 0513012007 Edwin Rodriguez This certtficale must not be altered In any manner. Inspectors may be Identified by their credentials. 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. 32873 Z Date APRIL 2, 2007 Permission is hereby granted to: THEODORE C MARTZ JR 145 RYERSON AVE MANORVILLE,NY 11949 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 275 WEST COVE RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0003 Lot No. 004 pursuant to application dated APRIL 2, 2007 and approved by the Building Inspector to expire on OCTOBER 2, 2008. Fee $ 250.00 ORIGINAL Rev. 5/8/02 3 t-? 73 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] I!?ULATION [ KFINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnoN DATE 7//1) /07 !. I INSPECTOR 3 :r17 3 :z.. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ r~ REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION , DATE ~(J-s-07 . INSPECTOR ~PtL .. FIELD INSPECTION REPORT DATE COMMENTS \)J"C y'" 0\\" FOUNDATION (1ST) ,:::: ~- \>.1"' ru"" -------------~---------------------- U'c. FOUNDATION (2ND) '\.,:;:J 9-) Z ,0 ---J . If, c: Of> ( ) "' ROUGH FRAMING & Ii: ~ PLUMBING iJ .~ -T-' r:> . r) <. r, 7'::' ,,-0 i= ;> '0> ... - INSULATION PER N. Y. \ '" STATE ENERGY CODE "' P ,. i' -+ '5/?f -0'" ~/# " rrn ~- .b 1/U '<-. G 1/ CO' ..-.. _/ ''7 ,1 -" (' GI/~ Ck:? f, / f #ri'/. r. ..L ,- / -I J-::/ ~ " FINAL - - // / A ( -W / v ~ ... """" . ADDITIONAL COMMENTS ? ... -+ , N <: ~~ m d;J:l ~ C B-- ~ " '" C ~ .. - f....' ~ , C "' . - "'" 0 Z ;:t: L.... '" ;,.- . t-' ~ .. ::: . t:l '" .." :-' ,20~ 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: / . t;. CJk" Mail to: _ Phone: '0/ ~~~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971' TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO.L-)Q~=t,~ Expiration 1P Irz- Examined ,204- ,201- Approved Disapproved aJ c ,- f:\pq 22f APPLICATION FOR BUILDING PERMIT INSTRUCTIONS -4 \ 02 ,2001 Date a. This application MUST 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 oflot 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, Ordinance 0 Regulations, for the construction of buildings, additions, or alterations or for removal or demoli . n as herein desc . id. T e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, d regulations, d' ad t authorized inspectors on premises and in building for necessary inspection . State whether applicant is owner, lessee, a Name of owner of premises / (As 0 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. Location of la d on wi;.rrop House Number Street ill be done: c~~ Hamlet County Tax Ma~" 100~on Subdivision O~ ~ (Name) /11 Block Filed Map No. .3 ~~ 'l Lot Lot ~ /6 2. State existing use and occupancy of premises and i a. Existing use and occupancy of proposed construction: b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 5. If dwelling, number of dwelling units If garage, number of cars Add;ri"~"~,"OO Other Work - lL~-z..~ w ~I ~riPtt illlufll (To be paid on filing this application) Number of dwelling units on each floor 4. Estimated Cost .. 1-4 OOu I Fee 6. If business, 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 .j. 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 9. Size oflot: Front~Rear qO.O Rear Depth Depth ~.A4.34\'~ 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 -I- 13. Will lot bere-graded? YES -I- NO_ W'll ex~ fill beremov d fro~..cnises? YES_ NO '/- o ~ ~ ~~~ ~\-8t9~~ 14. Names of Owner of premises 1\ddress J.\l~ I F'1fone 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 "1- * 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 L * 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: / COUNTYOF~Il~~ _~ I ~ . A..el~~. being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ng c tract)IabOVe named, (S@s the l::u. ~ __Q.o~ (Contract ,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. , 20~ / Signature of Applicant u MELANIE IlOROSKI NOTARY PUBLIC, State of New Yolk No. 01004634870 Qualified in Suffolk County h Commission Expires September 30,.2ll) \ v i0 ~ - I ~ l --..__ 'r-- : OCCUPANCY : USE IS U UL : :WI T CERtiFICATE: F OCCUPANqy : I I _---'-----~ I _--- " - - ""'-'- ORN:E --.v DETAIL A "IMMED/A TEL V" ENCLOSE POOL TO CODE WJ>J..L B~ ~l:.MBLY Oo;AI~ . x 43' x .."" UPON COMPL. ETION 1--2~2 I _/.3.zm_LE BEFORE 'WATER" t' - - 14~ClI!1'J.HIZEO- - SJEB. 'IMU.. PANEl. 6" 42" 1 IJHcmuS!6ED. EJfffi( ~x ~~2 pC 12" B1 STAre. 1/r:l[ 2.... x." G.\.. CN..VMIZEI) RfGLii: UNDERWRITERS CERTIFICATE REQUIRED Hare IY.CKfU TO. BE S>>m. GRA\El.. (If OTHER MlN OCPANSNE MlJERIIII.. L~ -. r- ) T ~ a G ------------ 1 Ib A 4 J 8 I T .5Y2.. ....L j 4 . NO DIlliNG BOARD AU.OWEO POOl SIZE A 8 C 0 E F G H J K L 12 x 2<1- 12 2<1- 8 6 6 26 6 25 7 36 2610 14 x 26 1<4- 26 10 76 6 26 6 6 9 36 29638 16 x 32 16 32 8 1<4- 6 <l- e 4 8 36 359 1 4 16 x 36 16 36 12 14 6 <l- S <l- e 36 43 4 18 x 36 18 36 12 14 6 4 S 4 10 36 40 3 20 x 40 2Q 4() 14 14 a 4 s 4 12 36 448 5 8 1 -HOTE- l1tI!SEllIll--.lXlWPLYWllHlHEltII11<IHAI. _"'D~lNS1I1IIIE~ "'_ __F!lRIlIiS_I'OOl.S.~-~UN'~__ OR SlIIlES _ 10 .: usm lIII1f P<XU ~ IImIlIJ<moNs - tHE _L SPA .... PCOllNSlllUlt"S IItllIil\lIl __ I'tlIllR 11) _ OM"" - 011 SUDESac_ PIlOI.S. __ -1lC__STo!IIlMIlS. ""'" -...._POOLIN5TI1IlIE.Zll1___...mu (703)ll3O--<Ill83 CARDINAL SYSTEMS _ s. Iff. 6' (717 ~ SCIUIUCti. -. PA. (717) _ 1313 FAX. ~ -8 Wlti 6' R. CORNERS ~ - KK f!lE ~ RECT6RC S.C.T.M. NO. OISTRICT:'ooo SECTION:'" BLOCK: J LOT(S): " ll:: lU 0- ~ o ::; lD ::> ll. '" -J -J lU ~ o <0.> lIl#12 l..AST POlE EL 58.1 & LOT 12 ~/o I{I- .eO-_ e HAyWATER ROAD LOT 15 DO '00 'Il"~~l' ~lJel.'" o'Il~1.1. ~ ~ (j ELEV. 61.2 DR BROWN DY LOAIA l' ~. !>1.!> €l- 44.2' BROWN SILTY SAND 3.5' ~ ~ ., ~ "-"..... "0 't~ <-> <J.~ ':tZ -:t.O ~U ... PALE BROWN FINE TO MEDIUM SAND NO WATER 17' 'Il"~~l' IJ'IJ.... ~I.I.~ 11-13-03 THE WA TER SUPPL Y. WElLS AND CESSPOOL LOCA TIONS SHOWN ARE FROM FIELD OBSERVA TIONS AND OR DATA OBTAINED FROM OTHERS. ELEVA nON OA TUM: ___________~~!!.~~_________ FNQ. LOCAl ON 02-07-07 REVISE HOl'SE 12-6-06 AREA: 26,701 S.F. OR 0.61 ACRES UNAUTHORZED ALTERATION OR ADDlnON TO THIS SURVEY IS A VlOLAnON OF SEcnON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT .~EARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY GUARANTEES INDICA TED HEREON SHALL RUN ONL Y TO ,HE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE nTLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INsnTUnON LISTED HWEDN, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSL TS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTEN:JED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE EREcnON OF FENCES, ADDlnONAL STRUCTURES DR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR S,IBSURFACE STRUetURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALL Y EVIDENT ON THE PREMISES A T THE nME OF SURVEY SURVEY OF: LOT 16 MAP OF: A'-ONZO JERSEY REVISED FilED: APRIL 28, 1930 AS #763 SITUATED A NASSAU POINT TOWN OF: SOUTHOLD SUFFOLK COUNTY, NEW YORK CERTIFIED TO: THEODORE C. MARTZ JR.; ABSOLUTE ABSTRACT INC.; COMMONWEALTH LAND TITLE INS.; t-u If. i/~ KENNETH M. WOYCBUK LS. Land Surveyinl and Deslp P.O. DOJ: 3. Mattltuck, New York 11952 PROHl IUl) 2tl8-11i88 PAX IUl) 2tl8-11i88 malntaininJ the record. 0' Robert .I. Hennen, FILE ,23-133 SCALE: 1"=30' DATE: NOV. 25, 2003 N. Y. $. lie NO. 50227