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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 /.'- .//...>. --/--) / ..- (A/.:::. ' \ f / . - ~~~!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 -- ~ - ~- -- COMMENTS GJ... ~l"l -C.~ 1)..., 'It ctJ ~~ C1", -:-,l"l \.. - u_ z -P ..J') ..5\ U1'" -- \ ~ -- l"l -(7"" (t p... "" -- ~-- --- ---~--- - -------- ---- - (1 ?\ --\,^, := -(\)~ 0, l"l --~..., C) ""8 i-.--~~. o7-Pu. ~~jJA fl&tX. I " -- E- _ ~ On_' -,~ ~':d..\j) ~-- 4 , lJ - ----..- - ---._-- ~ --- ADDITIONAL COMMENTS r ;>> 1! ---- * 0 ~ ::e z -~I~ --~ l"l --t::-~ g:~ ..., \j ... cy~ -- ~~ ~ .q::---.., T ; l"l ... :-l 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~ 10" . 3<0 '" 'ig.. , CD OJ 0 , 2:: l' 10' l' 16' COPING AND Wi'lK BY Of}fRS GRADf ~ :;' \!" PLAN ..- , ;0. CONCRfff Wi'lLS ~\,\, ~ ~ s'-<' 0<': ~(,,\\O [(,~ :<.. ~S'\~ -s.<?:-~~O~ (,0 ~o. ~ "r\'\' y..~ ~ ~ ~y; ~-<;. SO ~~y; O'VY) CJ ~\..~ '"...~ 00 '(r;.Q'fP.'- -<..~-<..~ . ..~~"'~ 60~~~~ ~~c.~~0~ O'?-~ \j 'Q~<C 10" RB' it.....v..,.. " fCRIl'ED COI\Q:t If SlfPS W AffR UM: N , SAND Bo-r-rOM ..- SECTION ../A .. . ~ ^-" 10' :;' .. ~ ;-- SECTION B F~t ..- , 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 VI -10 OZ Od a...~ U8 z8 - cL v -~ :i:~ ;:Z VI~ -.0 OJ t'-.. ~ >- Z ~ -<(Z LnO NQ LU>- f-v :::>u 00 cL. cL m.!Q CO -0 ~a. ;~ ""e .- . II! cL ::5 V) :::,tii otn ZQ ~z UW w Z cL . -<( ~25 ... cL , -...... '2s 5-27 -03