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
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..
FIELD INSPECTION REPORT DATE COMMENTS
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STATE ENERGY CODE "'
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. ADDITIONAL COMMENTS ?
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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
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: OCCUPANCY
: USE IS U UL :
:WI T CERtiFICATE:
F OCCUPANqy :
I
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""'-'- 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..
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. 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~ "'_
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OR SlIIlES _ 10 .: usm lIII1f P<XU ~ IImIlIJ<moNs
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- 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
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RECT6RC
S.C.T.M. NO. OISTRICT:'ooo SECTION:'"
BLOCK: J
LOT(S): "
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l..AST POlE
EL 58.1
& LOT 12
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e
HAyWATER
ROAD
LOT 15
DO
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ELEV. 61.2
DR BROWN
DY LOAIA
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44.2'
BROWN
SILTY SAND
3.5'
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BROWN
FINE
TO
MEDIUM
SAND
NO WATER
17'
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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