HomeMy WebLinkAbout32461-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32658 Date: 10/05/07
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1995
(HOUSE NO.)
County Tax Map No. 473889 Section 18
DIEDRICKS RD
(STREET)
Block 3
ORIENT
(HAMLET)
Lot 3
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 6, 2006 pursuant to which
Building Permit NO. 32461-Z
dated
OCTOBER 30, 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 WITH FENCE TO CODE AS APPLIED FOR.
The certificate is iSBued to JEANNE MARIE LAPORTA
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COIlNTY DBPAR'l'MKIlT OF HEALTH APPROVAL
05/19/07
05/19/07
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
/h ~o~_
Authorized Signature
Rev. 1/81
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
GCT
5
APPLICATION FOR CERTIFICATE OF OCCUPANCY i ~~,-, ~-:.,.. ..' '~"'1~
This application must be filled in by typewriter or ink and submitted to the Building Departm~nt witT; 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 Dep!. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement tram plumber certifying that the solder used in system contains less than 2/1 0 of 1 % 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 Plmming 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 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
L 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/soho07
. ,
New Construction: ./ roo L
Location of Property: , '{ r S;
House No.
Old or Pre-existing Building:
OleJrl("~S Ro...J
Street
( check one)
0(/ ~,.) t
Hamlet
Owner or Owners of Property: -:J"q,vp< (f\"rl~ iq'P~,"t-.:\.
Suffolk County Tax Map No 1 000, Section , 1
Block
0003
Lot
003
Subdivision
Filed Map.
Lot:
Permit No. 31. Lft I
Date.ofPcrmi!. lohcjo6
.
Applicmlt: -:JeqN.-'(. In/1ft e L'I 'PorT "-
Health Dep!. Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate: /
Planning Board Approval: ____
Fee Submitted: $
15: 00
CLc... 7?~ o~
cool 3JbS~
SUf'OI/e BURfA'
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 4958136 . Fax: 631 9806455 . E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Raymond Electrical
May 19,2007
7144
Certificate No.:
Final Inspection Date:
Building Permit No.:
7144
May 19,2007
32461
Suffolk County Tax Map No.: 1000 18 03 03
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: William Scazzaro & Jeanne laPorta
Site Location: 1995 Diedericks Rd., Orient, NY 11957
Owner's Address (if different):
[;ij Residential D Indoor D Basement D Service
D Commercial [;ij Outdoor D First Floor [;ijPool
DNew D Renovation D Second Floor DAttic
D Addition D Survey other:
INVENTORY
Single Phase Heat Gas Duplex Recpt Ceiling Fixture
Three Phase Hot Water GFC1Recpt Wall Fixture
Main Panel AC Cond Single Recpt Recessed Fixture
Sub Panel 'ok! AC Slower Range Recpt Flourescent
Transformer Appliances Dryer Recpt Emergency
Disconnect Switches 2 Twist lock Exit Fixtures
GFCI Breaker Heat Pump Electric Heat Pool Luminaire
Other Equipment:
D Shed
D Hottub
D Garage
HID Fixtures
Smoke
CO Detect
Pumps
Time Clock
TVSS
Exhaust Fan
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 Electrical
I,,~- ~_ ~~!1 dJ,
Signature: ~.-
License No.: 5141ME
Date Of Certificate: Sep 12 , 2007
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.
32461 Z
Date OCTOBER
30, 2006
permission is hereby granted to:
JEANNE MARIE LAPORTA
125 STONEWALL CR
WEST HARRISON,NY 10604
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR
at premises located at
ORIENT
1995 DIEDRICKS RD
County Tax Map No. 473889 Section 018
Block 0003
Lot No. 003
pursuant to application dated OCTOBER
6, 2006 and approved by the
Building Inspector to expire on APRIL
30,2008.
Fee $
150.00
/.'- .//...>. --/--)
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(A/.:::. '
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- ~~~!hori~~nat~re
ORIGINAL
Rev. 5/8/02
3Mtl :z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
REMARKS:
DATE
6 ~rr-e77
[ ] ROUGH PLBG.
[ ] INSULATION
M FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
'"
t...d:t-'
()k
"
INSPECTOR ~ ~
FIELD INSPECTION REPORT DATE I
FOUNDATION (lST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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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:
Mail to: .swim ~~s
411 ~e.:z.6A ~p-j
Phone: 144 - <6100
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ...
SOUTHOLD, NY 1"1971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO. 3 '7 '1~ { :;?
Examined
(0(;0
If) /30
!
Approved
Disapproved alc
,20 '-
20 c..
'-
Expiration
,20_
/'
APPLICATION FO
oct 2 6 Ly
Date
iD-,?3- O/,p
,20_
INSTRUCTIONS
a.This application MUSTile-tbmpletely 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.
(Signature of applicant or name, if a corporation) +
. W-lS
1:}.5 S f-oneWtl.) I Cwd-e- ~(U"r /"m
(Mailing address of applicant) fV-1
loruO'!
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
()w net'"
Name of owner of premises
~n,t hQ~
(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. .;1'41 ~ +-I
Plumbers License No.
Electricians License No. .,;>.iP 75t?
Other Trade's License No.
1.
~ In
County Tax :ty!.1P:l){5b WW.. ~%\ion
Subdivision ....f',.,. , ','
d",.,'"..;~e,)"~,,,.!.!
,"', ?'~ 'fN.<i,_ MlIt1'/1 !k'l";, ',~<
Hamlet
.3
II) v.,o,.81oakuJh#
~." ~"~I . rOO
.'0-': """ ..' pd, o.
~ lii' :0 lJl'.~'
'r~l'-' . +.!' ,:.~ '
Lot D3
Lot
House Number
2. State existing use and occupancy of premises and inten ed use and occupancy of proposeQ, construction:
a. Existing use and occupancy e. in Ie { d ~
b. Intended use and occupanc)j ()$.ll I f\ ~ (0 <.lfll:::t
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
1fl>')I 3G,
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
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. 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
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
Rear
Depth
9. Size of/ot: 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 .,/ NO ~ Will excess fill be removed from premises? YES_NO_
() .' o.d ()r' et'\.f
14. Names of Owner ofpremiseJW.nn.e !.o..ror..}-\. Address jq '15 {),ede.-,ctsrphone No..,21 :;}-78 ~ .10 18
Name of Architect UvJ Joh~ ~" Address 115 Lib!w-f'1 Av~ Phone No 2,31- ~ ID 5
Name ofContractor_(.\and4 Odfc~ Address 1.17 J e..-\-e. 2.6;<1 ~fithone No. 7L1lJ - 8100
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 )
~l\.Y1a.Y...l-Roct.(Cj(u being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(of"Yhrtt of'v"'-
(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 this
~~ dayof
20~
~~
I
'T - tNc.tu
Signat e of Applicant
Pm':::""'EE.. QUI~y
=.-f1I....YcllIr
."Ou81lffedIn~~
-.."'...,.......t").o: ..,'"
KATHLEEN ClIIJiOLEY
NOTARY PUIIlIC. _'OiNewYOI1l
NO..Ol<llll112'412. <4
QueIIIijIIlIllSUMc Co\InlY.
Cc!mmlnIon e..- _~. 20~
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COPING AND Wi'lK
BY Of}fRS
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NOTES
1_ SmJC1lP-E IS oeSIGl\lcQ fO?lJ5E: BELON(y.JJ.1ihNO CNLYI~IN'f.?6
\MiERC frf a'OlNO WArE-R fABLE lSA,l/JN!.;ftJMGf 'i'-8" f}cLON
rrf: F'ROI'OSEO flNl'Xf17 CPADE
1. [}AG-FlLl W1fH CLcP,N EP-J?J'rl. fReE Of ROOrsN.JO DEl3Ri;.. DOW7f P'tJJ}N
niE K:;l(.HfOf e>AGJ'ILL rOexCEW f}f xelO~fO' r..-f V1P.fC:.R 11,1 r~ PQO^
[7Y Mat rtW'J a"
;; WAJ.J5 fO {}~ SMOOfrl_ NOt.1 5(,10 riP2 4~(')f"O hlfo/h-( ?PDi';., POO_
-1. wArT::R OISF'OSI'l 9',r.l..-L Dc LIUMi:O iOCNIftr:6F'Rlfc::Pff roSlJlr
Lf)(...fJ.. WHOlnOlb
X
APTER -46-,
SOUTHOLD TOWN CODE.
.
APPROVED AS NOTED
DATE: ,0 \ ~D {~.P. # S2:'{{./ ~
FEE: ~ \ ~ ~BY .--=:tR~
. NOTIFY BUILDING DEP",RTMENT AT
765.1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
,
FOR POURED CONCRETE
2. ROUGH. FRAMING.& PLUMBING
3. INSULATION
W fll{flflNAL . CONSTRUCTION MUST fROM fiLlER
BE l~tfjM'~C.O.
ALL CO TRUCTION SHALL M~I J.!:!.~IMP
REQUIREM S T t'S'~V'r'.
YORK STA E. N ESPONSIBLE FOR
DESIGN 0 CONS UCTION ERRORS.
fO Kf1lF-N>
W Wf6lE
WAlfR LINE
RC1..LW WPM BefWfeN
LINeR AND CONCRf1E
,
,
fORM llfS
'7'700 PSI POURW CONCRf1E
VINYL L1t\l'R
2" fO 4" SAND
WALL SECTION
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