HomeMy WebLinkAbout32739-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO, Z-32449 Date, 07/06/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property, 390 NORTH
(HOUSE NO.)
County Tax Map No. 473889 Section 54
SEA DR
(STREET)
Block 5
SOUTHOLD
(HAMLET)
Lot 18
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
FEBRUARY 20, 2007 pursuant to which
Building Permit No. 32739-Z
dated
FEBRUARY 20, 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 PAUL & DEBORAH BELICA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3022462
02/01/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
Form No.6
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BLDG. DEPT
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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 April 9, 1957) non-conforming uses, or buildings and "pre-existing" land nses:
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 $15.00
Date.
~/(~1
I '
New Construction: Old or Pre-existing Building: (check one)
Location of Property a 70 ;i0 i/tf SEt! 7J/2t r/G ,${)()7?/f)LtJ
House No. Street r-;)
Owner or Owners of Property: ?;fvL (hc/]) e/;o~~ OFUC!'f
Suffolk County Tax Map No 1000, ~eetion -;- if Block -:;-
Hamlet
Lot
IrS
Subdivision
Permit No. 3J r,9
Filed Map.
Lot:
Date.ofPermit.
Applicant:
Underwriters Approval:
Health Dept. Approval: ____,
Planning Board Approval: .__.__..
Request for:
Pee Submitted: $
Temporary Celiificatc
;;.ft>4
Final Certificate:
(check one)
~. 73~C,f
(o:c3).,'1Lfj
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southo1d, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
32739 Z
Date FEBRUARY 20, 2007
permission is hereby granted to:
PAUL & DEBORAH BELICA
129 KILBURN RD
GARDEN CITY,NY 11530
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL AS APPLIED FOR
THIS PERMIT REPLACES BP 27259.
at premises located at
390 NORTH SEA DR
SOUTHOLD
County Tax Map No. 473889 Section 054
Block 0005
Lot No. 018
pursuant to application dated FEBRUARY 20, 2007 and approved by the
Building Inspector to expire on AUGUST 20, 2008.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
40
BUREAU OF ELECTRICITY
FULTON STREET - NEW YORK, NY
10038
CERTIFIES THAT
Upon the application of
upon premises owned by
PAUL BELlCA
129 KILBURN RD
GARDEN CITY, NY 11530
PAUL BELlCA
129 KILBURN RD
GARDEN CITY, NY 11530
390 NORTH SEA DR SOUTHOLD, NY 11971
Q 1JS1
3022462
Certificate Number:
3022462
Block:
ns11
Building Permit:
Lot:
BDC:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside, PooVSpa,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable ,code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 1st Day of February, 2007.
Name OTY Rate Ratin. Circuit ~
Miscellaneous
2-pool control panels
I for pool I for spa
as built 2003
Appliances and Accessories
PooV Spa Bonding
Pool Heater
Panels
I 0
2 0
Gas
50
7
Wiring and Devices
Receptacle
Receptacle
Fixture
5 0
I 0
2 0
I 0
I 0
20 amp
Pool/ Spa
General Purpose
Pool/ Spa
GFCl
PooV Spa
Receptacle
GFCI Circuit Breaker
50 amp
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environmL-nts it is advisable to have
frequent test and/or repairs made by a qualified person. seal
Continued on Next Page
of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
(!]E!ffi!~E!ffi!E!ffi!~~(!]
I BY THIS CERTIFICATE OF COMPLIANCE THE i
~ NEW YORK BOARD OF FIRE UNDERWRITERS ~
~ BUREAU OF ELECTRICITY ~
~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~
~ CERTIFIES THAT ~
~ ~
~ Upon the application of upon premises owned by ~
~ ~
~ PAUL BELlCA PAUL BELlCA ~
~ 129 KILBURN RD 129 KILBURN RD ~
I GARDEN CITY, NY 11530 GARDEN CITY, NY 11530 I
~ Located at 390 NORTH SEA DR SOUTHOLD, NY 11971 ~
~ 3022462 3022462 ~
~ Application Number: Certificate Number: ~
~ Section: Block: Lot: Building Permit: BDC: ns11 ~
~ ~
~ Described as a occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located in/on the premises at: ~
~ First Floor, Outside, Pool/Spa, ~
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~
~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~
~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~
~ authority having jurisdiction, and found to be in compliance therewith on the 1st Day of February, 2007. ~
~ Name OTY Rate Ratin. Circuit ~ ~
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to ~
~ be in comformance with the applicabie reference standard for the estimated period of construction of the premises wiring system. ~
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I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
(!]~E!ffi!E!ffi!E!ffi!~E!ffi!~~E!ffi!(!]
3-y73CJt:
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnON
REMARKS:
[ ] ROUGH PLBG.
[ ] ~ATION
[y(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
....
DATE r(tjPl
INSPECTOR
3J-7J~-c-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUG LBG.
[ ] FOUNDATION 2ND [] I LATION
[ ] FRAMING I STRAPPING [. FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
D/1c
REMARKS: f"[l::>:rIA.~"-
~ /111
r{ 18
<7
lY..L. W~
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DATE J{~/If
INSPECTOR
"
'IKLD INSPECTION REPORT DATE . '. COMMENTS
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FOUNDATION (2ND) II II
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FOUNDATION
(1ST)
ROUGH FRAME &
PLUMBING
INSULATION PER N _ Y_
STATE ENERGY
CODE
-
-
FINAL
"."
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ADDITIONAL COMMENTS:
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BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO.
~~3~~
.-J.-7;L:J H
tlUlLLllNlJ t'bKMll At't'LlCAflUN CHECKLIS
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Examined
Approved ..\. "'-.0
.
Disapproved alc
,20_
200'-
'-
Mail to:
~-'1,5<
J
. ,
. ____~ .J
"J
Phone: to ~ 3 - &S 7;L
. ----- -'-"--'1
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Buildi spector
APPLICATION FOR BUILDING PERMIT
Date
,20
INSTRUCTIONS
a. This application MUST be completely filled in by iypewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to scliedule.
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 througho~t the work.
e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan
is issued by the Building Inspector.
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:Coimty, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or:alterations or for remov~l or demolition a~ 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 nece~sary inspections.
D. )1Gj("....JL:f't- Pools :r.-.<-
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
~
Name of owner of premises
Pa cJ Bel i "Co<- a:,^~ Ee har", k 8e.J,cO-
(as on the tax roll or latest deed)
.'
If applicant is a corporation, signature of duly autho .
, . 5 /"1W'.eHA-..d! 'J
(Name and titie of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
/v()rt~ 5eo.. Dr~.
House Number Street
County Tax Map No. 1000 Section
Subdivision
;ii-I
. Block 0 S
Filed Map No.
s,..td,.. ,i'ur.J:1'iA;F:
/)fit, , ''(~to'"
',j ,,;\:"~Namlel ,\~""O:) llIoTluZ
I, . '''}liql(:; .1oieeimrr<>:l
Lot /?
Lot
(Name)
---~
J ___ _ _
_______.----..c _
t:
.. ._,,~,- -^""'''!; u,~ """ VI"I"lll'allCY or premises and Intended use and occupancy ..of proposed construction:
a. Existinguseandoccupancy.. Ohe rOo......; 1'1 oL,l.)~I\""'d
1
b. Intended use and occupancy
One.... fA..r-.~ \\)
,
~ell,'~~
i. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition Alteration
OtherWork.5wI~""\j pool paNo
-(Description)
.-- 7&."""-
I. Estimated Cost
.f
h~mo
Fee
jf dwelling, number of dwelling units
If garage, number of cars
(to be paid on filing this application)
Number of dwelling units on each floor
, If business, commercial or mixed occupancy, specify nature and extent of each type of use.
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
Dimensions of entire new construction: Front ,..
Height Number of Stories
, Size of lot: Front /00 ff
Rear
loaM Ft
Rear
7i1a/ ~
Depth l/:m
Depth
f.joxl:/}/ ~ ~ ~
.20)( "Ie 3wi.-",;'"j roof
O. Date of Purchase
Name of Former Owner
I. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation: No
Ie.. \ f co/>.5fn..c1iOr- ~
3. Will lot be re-graded \ S - 0"- y ().re~ 0 Will excess fill be removed from premises: YES ~
51{,
4. Names of Owner of premises PtU<..\ Re/;u- .._Address.....G;a,Jl€v. (;-J..j ;....;';/ Phone No. ::<1('iJ- 53/6
Name ot Architect" Address . Phone No
Name of Contractor OoN /'Ic.j{-el1l">d:r Address I3D"- 'I/?_ ~1IlW~one No. 653 - 6572-
5. Is this property within 100 feet of a tidal wetland? *YES NO ~ / 9 s-1
. IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
T ATE OF NEW YORK)
SS:
:OUNTY OF )
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
;)I-Ie IS the ~. - u,...".;freJcJ.,y-
(Contractor, Agent, Corporate Officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
lat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
worn to before me this
143/C day of Fr;()IIUJ1RY 20~
~~.~
Not Pubhc PHER
FRANK J. CHRISTO
NaIIIy PublIc. St8Ill of New York
SuIJaIk Caunty, No. 01CH5692560
CI... j II ~" ElqnI AprlI30, 20 o-z
bL,C~/
- \.
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FORMI;R OWNER .
t:1 a i'" I ( ri L. SO I 0 t"YlQ 1\
Lew IS :r 'Sol ol"Y'lO n l' wf"' S
),~ J-; /cJ:1 .
,
RES. I SEAS. z.c, D VL.
LAND IMP. TOTAL
/600 -S//-
OWNER
-II'
too
1-' <> 0
O--'C~'O
0-0
/ 0
Iou,
1/00
3.1.0-0/
AGE
NEW
FARM
NORMAL
Acre
Tillable
Woodland
Meadowland
House Plot
Total
I
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
/
,
n,.
30
STREET '. ( .
VILLAGE
SUB.
DIST.
;;:-
ACR.
/. dad
TYPE OF BUILDING
LOT
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R - oY.
FARM
COMM.
[Jo<Li- ...;-. d'RS' .
CB. MICS. Mkt. Value
DATE
REMARKS
-~
BUILDING CONDITION
,
BELOW
ABOVE
Value Per
Acre
Value
--
-,p.....
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
L/ 2,- 0'" /.,l),-'" .r A---/r:-' ";"-,
/ trO' cD / t) .~ 2> c /' ""'-0-0
DOCK
-~ - -
- -
-",
II \
W:~ TE AL Ut
i I, COLOR TRIM
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M. Bld~ I / j X B " '" 7." j..<z[' I
9 Slf' - , ~ I ! I I , I
.."..1 U' "_JT - A]a _I
"'Extension( I t} X fa ,. 90 ! I I' i I , I I I I
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ExtenSIon 7' 3' . {-I, ~" ,
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,-<, I I I I I I , I ,
Extension I
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1 Foundation e. is Bath I - I I Dinette I
,
,
Porch , I ! .LBasement Floors I I /
j C /;' /-" '_v;.._ /- -' - K.
I
r.rc'jj)~4i 1XI50 /J'F "- IExt. Walls ' eft'!-F " Interior Finish . LR. /
>-' Jc? _.~,; "
-
I '1~ St,.t Fire Ploce Heat DR.
Breezewoy i 7 J( I" ; "dr.! / '11./ Jl'cs- Ii 3
ill X ~ ,3 ~ .;J "'-' I I )-, J st Floor IBR.
Garage i Type Roof //0 <(<- Rooms
" - i 2...-
Patio I ~ation Room . Rooms 2nd Floor FIN. B
O. B. I IDormer Driveway I
.I
Total '..JZ Z 7/" I
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'J:.D )( 'I () I 2...0
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TIL: FA-CIN;;
TH:; DESIGN IS S.o.SE;) ON A- DRAINAGE SOH. WIT;.. < 10% :>IL1.
GROUN:l w.o.TER SH.o.L1.. HOT EXI!:T WITHIN THE LlloIlTS 0" THE
EXCA-VATlON.IF GROUHD WATER EXISTS WITHIN ,'-o'eElOW
(;RADE SPECl41. DEWATERING 'FA-CllITIES WIll 8E REQUIRED.
WATER DISPOSAl. IS LI"'TEo TO OWNElrs PROPERTY
"'::I SlJRCHAR~ A-I.LOWEO WITHIN 4'-0' OF SHA-LlOW El;o
AIlD 6'-0' OF oE'!:P .EHD.
TH:; f'NEUI"'T1C4LLY APPl..IED CQNCRETE I lAINlTE I SHALL
e:: A 114 MIX WITH A WAXIWUM OF 3;% G.t.I..lONS OF
W.l.TER PER SACK OF CEIoIEIlT.
REINFORCING STEEl. SHALL. liE INTERMEDIATE GRADe
IlIL.ltT STEE:.. WITH A MINIWUW I....P OF 30 BAR
DI...WETERS.
POOl. ......TER SUPPL.Y IIY OWNER'S GARDEN HOSE.
PDOL. TO liE KEPT FUL.L. DURING FREEZING WEATHER.
-P\i'iii-CU.lc:ITY TO IIE-SUFFiCiVlrro~lll'TrpaDC"--'
'-11f. .24- HDU"s.-_.__.__..~..___,___ ____
AL.:' AROUND
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ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORI< STATE EDUCATION LAW
EXCEPT AS PER SECTION 7209-SU8oIVISION 2 ALL CERTlFlCA TlONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON
SURVEY OF PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
1000-54-05-18
SCALE: 1'=50'
July 28. 1999
^"P,OVED AS NOTED .'
OCCUPANCY OR ,'" DA;E\~:~():7d~~
USE IS UNLAWFUL _e~t't~J,~FY BUILDING DS>A;~
DUI ~6\\'-'1\lo2 9 AM TO 4 PM FOR THE
WITHOUT CERTIFICA T~~ubeJ'~~:::Er~s:REauIRED
c : 7'3 7FOR POURED CONCRETE
OF OCCUPANCY \~,"I'or~:=~iiO~F!AMI~CH' PWMBING
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
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UNDERWRITERS CERTIFICATE
REQUIRED
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.'IMMEDIATEL Y"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATERH
"" N \ S ~iC W) 496'8
POBOX 909
'230 TRAV[LrR STR[[T
SOUTHOLO. NY 71971 99-26