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HomeMy WebLinkAbout33521-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 11/05/07 1110: Z-32776 THIS CERTIFIES tbat the building "AS BUILT" HOT TUB Location of Property: 8050 NASSAU (HOUSE NO.) county Tax Map 1110. 473889 Section 118 POINT RD (STREET) Block 5 CUTCHOGUE (HAMLET) Lot 2.1 Subdivision Filed MaP 1110. Lot 1110. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 2007 pursuant to which Building Permit 1110. 33521-Z dated NOVEMBER 9, 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 "AS BUILT" HOT TUB AS APPLIED FOR. The certificate is issued to JOHN & KATHLEEN SPICER (OWNER) of the aforesaid building. SUFFOLK COUl!lTY DEPAR'l'MEI!IT OF HEALTH APPROVAL N/A 10/10/07 ELECTRICAL CERTIFICATE 1110. 3048825 N/A PLUMBERS CERTIFICATION DATED ~~~- A horized Signature Rev. 1/81 . (05- ~3~D . Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~,'r_~ _.__.---~ c. ... r'- --~. 'Iler '...U 5 S-jT 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 nses, 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 1. 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. {Z / ~/07 , New Construction: X Old or Pre-existing Building: Location of Property: lfOSb N(.,LsSa..u. Vo ~ ",--I-- House No. Street Owner or Owners of Property: ~o VI V\ ~\ C -e r Suffolk County Tax Map No 1000, Section II R (check one) K Qod ( ~ oca"-Le.. Hamlet ~ Block b Lot C:). I Subdivision Permit No. 3'O5;}. {_DateofPermit.~-q _ Dt Filed Map. Applicant: Lot: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: (check one) :2? L- /7../" Applicant Signature Fee Submitted: $ Co 2 ~d,II\o ~C- /3'-1<73 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD CERTIFICATE OF COMPLIANCE # 0276C Date November 28, 2007 THIS CERTIFIES that the portable hot tub and deck At 8050 Nassau Point Rd., Cutchogue Suffolk County Tax Map # 118-5-2.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 9/26/07 pursuant to which Trustees Permit #6748 Dated 10/17/07 Was issued, and conforms to all ofthe requirements and conditions ofthe applicable provisions oflaw. The project for which this certificate is being issued is for a portable hot tub and deck. The certificate is issued to JOHN SPICER owner of the aforesaid property. r07~ Authorized Signature ~ ~ ~ ~ ~ ~ ~ ~ ~ I I I Located at ~ I I I I ~ ~ I I ~ I ~ ~ ~ ~ ~ ~ ~ ~ I ~ I ~ ~ ~~1iI ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~ ~ ~ ~ ~ ~ ~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ 2fr:l BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by PECONIC ELECTRIC CORP P.O. BOX 1258 QUOGUE, NY 11952, JOHN SPICER 8050 NASSAU POINT RD. SOUTHOLD, NY 11971 8050 NASSAU POINT RD. SOUTHOLD, NY 11971 3048825 Certificate Number: 3048825 Application Number: BDC: ns11 Lot: Building Permit: Section: Block: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Outside, 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 andlor 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 10th Day of October, 2007. Name OTY Rate Ratin. Circuit D:m; Miscellaneous supply GFCI protected power to self contained hot tub Wiring and Devices GFCI Circuit Breaker 50a 50a Paoli Spa Paoli Spa 1 0 o Dis~()nncct seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~2fr:l 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. 33521 Z Date NOVEMBER 9, 2007 permission is hereby granted to: JOHN & KATHLEEN SPICER 443 HIGHBROOK PELHAM MANOR,NY 10803 for : INSTALLATION OF AN "AS BUILT" HOT TUB, PROTECTED PER CODE AS APPLIED FOR at premises located at 8050 NASSAU POINT RD CUTCHOGUE County Tax Map No. 473889 Section 118 pursuant to application dated NOVEMBER Block 0005 Lot No. 002.001 Building Inspector to expire on MAY 5, 2007 and approved by the 9, 2009. Fee $ 500.00 ~A 0- I Authorized Signature ORIGINAL Rev. 5/8/02 GUARANTFES INDICA TFD HERE ON SHALL RUN ONL' y. TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TinE COMPANY. GOVERNMENTAL AGt:NCy' Lt:NDING INSTlTtmON, IF US TED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSmUnON. GUARANTEES ARE NOT "TRANSFERABLE TO ADDmONAL IN$nruTlONS OR SUBSEOUENT OWNERS. UNAUTHORIZED ALTERATION OR ADDmQN TO THIS SURVEY IS A WOLA TlON OF SECTION 7209 OF 'THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVf:YGRS EMBOSSED SEAL SHAU NOT BE CONSIDERED TO BE A VAUD TRUE COPy. N -c 7Q o % """"'''''' """"'''''' N "'" ""'" FM# 156 DATE FILED AUGUST 16, 1922 TM# 1000-118-20-001 GUARANTEED TO: PHILIP BUFFA MARIA BUFFA MKM ABSTRACT """""'" """ WOOD FRAME RESIDENCE 4.2' "'''' CHAm """" """ LINK FENCE '" o \f\ 0' .-> .->0- ~U' FW>f; .~.; . _ - o~--N- 44;4"3'-40'1: NOTE: HAS (lOO1'5 ~~~O ~()RTrl [NOS- 8.6' """" GW"' N ~- "'" CONC,ETE c;um:'/-"""'" GRAVEL DRNEWAY NORTH OF PROPERTY UNE - 0.2' (AVERAGE) WON """' .""-' S 5Z47'20"W LOT 104 SURVEY OF PIO LOTS 106 & 105 + LOT 106 , . , Cle",. "reii' , """,. .................. " , , , , , '- 2]7 Jj3 t~)~ '<{) ~ /co a'Y /~. L4 / "R .'" / at:. /t !~!5:.."'r /~~ 0 , '" "" '"'f l ~ '-.) l'v! ~ a~ ~ ,ry-:; ."'- .~ ""'-J ~ ~ o ~ ~ FILE MAP L1N:.___ PART OF LOT 105 "'"' """ IN AMENDED MAP "A" OF NASSAU POINT SITUATE CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: PHILIP BUFFA MARIA BUFFA GRAVEL DRNEWAY "'"' ""'" '",,-, 444.00' SURVEYED: 15 OCTOBER 2007 SCALE 1 "= 40' AREA = 43,479 SF OR 0.998 ACRES JR. ; 3> s 01--1 :2--, TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: 1Itd- T ~ ~ ~, F~ /~ ~ . ~, DATE I/-li - 0 1 INSPECTOR ~ ~ }; '3 >?-/.2: - ~.~ h___ ~ TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING txJ FINAL ~; [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRAnON REMARKS: fI~ T~ ~ 4-r{)k, ~~~~. , E.h<:~ ~ ~NJ\d., DATE I ~ ~ 1 ~ {) 1 INSPECTOR ~< fl.t.-- , FIELD INSPECTION REPORT DATE I . COMMENTS . UJ... to; ~~ ,-,,,, -'It t\) ~ ~ I~~~ -..- FOUNDATION (1ST) FOUNDATION (2ND) z 9 ----. ~ ~ ~ [;; ~~ ~. ~ > ~ --= ?,~ W~ ROUGH FRAMING & PLUMBING e------ INSULATION PER N. Y. ~~ STATE ENERGY CODE FINAL f1-t1- '7 HfY' T Mr /hoP./ /J ~-'-'1:~1J..-.. . ~ .r:::I--L --...,-;:". ~kp - - A" j 1\ fLb) ri . 1- V / //~~~f 11--*0"t )f'1PI-TIM~ ,t A , 1~ ,;/<' 7~ (V_ ~......L 0\ r ~,1J/">.k j., . ~ I ,rfJV\J ~ 'AJ. ~ --:::; --- '"& \ , V ------ /) ADDITIONAL COMMENTS · \:). - . [\.\.. ul-:, h N-.lL ir Uc;:-4-o ~ A ^ ^ ..r:rI cJJ R "W'. J:::le. Je.- -.0 w;l 1'\ 0.-+- (R hi ^.. J + -; .\...l' J\ -. \ '1 ~ l;#., /"\ ~ ~ h\:>u.~ lA.\Glc.... hi, i 1+ - +1<.., --r7LA (-G-tJ. A . .--oJ.. Lr.~~~. !d ~ \)- :r.. ~ ~ 0 L::-"" AV\ ; +- SC'I I+- \. - I d! hP (\\e-,\}'-0U & -\(\^7"ffn ~ ffi l'A lJ.--N' ..... I vl> GO co-r\ ,-\,- '('\..U r.,luL ~ J ") ~ Tl (\ ~; <., AI D .d:? h IA I . . ~ ~::o r\~ ' W--c...- ~ v-e.. UA n..~^ \ ^~r '_Ie., vn aff.ctu t..JJ uV u . {f\to; . ~ -;-O~ ~ g Z [;l ~ ::l :p~ ... ~ PERMIT NO. 33SJ..I-b 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: TOWN OF SOUTHOLD BUILDING DEPARTMENT fOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 . FAX: (631) 765-9502 www.northfork.net/Southold/ III q ,20..!!.2 '~~ / q, 20---121 I Examined Approved Disapproved ale Mail to: Phone: Expiration s lcpo 01 I ..-.-.-- tt'j[ . Building Inspector r. \ ; I I ," i\: ,; 5' 7 APPLICATION FOR BUILDING PERMIT Date //- ~ '" 20pZ , \ ',e '------ .__J INSTRUCTIONS , -~- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 0" 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) "IMMEorATEL Y" UNDERWRlTERSCER1lFICATE ENCLOSE POOL, TO CODe REQUIRED' $ro-z-c ma c;' t<?oacl, S61..v.Jt.<>/J ~~~~~~~'~N . . (Mailing address of applicant) .. ALLCONSTrjl.>:I!~ ShALL State whether applIcant IS owner, letM!Ellg~oP.l!rnJtl(l/,~.1~gm~pffl~eral contrac1j\)~~VF-'Jl)lJ\S"~OOr builder ~ CODES OF ,':vi.:;;it '>l\TE. "/0 .9ATE:.J/'l./7 __ P.P.1i7'~c 6 -r ~ - ~f-FEE: dCD '0\',.' . . Name of owner of premises von 11 {A 1---<--- NOT;FY BUILD:NC ~.'. C:T:'_~_~. ,AT__ (As on the tax roll or late~fdOO'd) 2. .... . lUh i hE. ' If applicant is a corporation, signature of duly authorized officer FOL. -,: ~Cy on 1. F(;:',)ATiO~ . Fr FO.' POUR;:, (Name and litle of corporate 0 2 RO"~H Fe .. US . IS UNLAWFUL 3: INS~~AT;ON ,!"" Builders License No. leA TE 4. FINAL. cor\;, P';:,',C'N MUST Plumbers License No. BE C0MPLETt ,i,y, c.O. Electricians License No. ALL CONSTRUCTION SHALL MEET THE Other Trade's License No. IlEr1UIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CDr'<;rr'lIr'r"" F'''c"yS. ~o Hamlet .1-'C.8UIRED :TE , .. PLUMBING I. Location ofl~nd on whic~ Iloposed work w' j 0 /Vt{S~~ House Number Street ~' . .. II!O"', ' ~ LW cY. / ."'Lot.. . .' County Tax Map No. 1000 Section Subdivision / { 8' Block b Filed Map No. ,-',!:Ilit (Name) ~,: J 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy //07 Tv h . , 3. Nature of work (check which applicable): New Building Repair Removal Demolition 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 lot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated iL. 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_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. 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 MAYBE REQUIRED. 16. Provide survey, to scale, with accurate foundation planand:distances to property lines. " ::.H'1Mr' , . ; ;', If elevation at any point on property is at 10 feet or below, must provide topographical data on sury~y;'" ' STATE OF NEW YORK) SS: COUNTY OF StA/~ P ~ C /J1 ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contra r, Agent, Corporate Officer, etc.).. ' , ., ".., ! . , \......,i.. of said owner or owners, and is duly authorized to perform or have per-fowed me saj<i\;"ork and to make and file this application; that all statements contained in this application are true!!J.(~ best ofhig\kl\E\w,~e and belief; and that the work will be perfOlmed in the manner set forth in the application filedtfterewith.' I.' 201:Cl ~. Signature of Applicant IIETS'I A PERKINS ...., PublIc. State 01 NlM"'" No otPE 6130636 8 _"';"I1\SlM~'COUIlIY .20'i:l ~EJlpifIl6-""t1. .3 /~() e{-" ..,. -- . J-' TOWN OF SOUTHOLD PROPERTY. RECORD CARD -....-.-;"""-' . \ _J r- r~' 1 /tft:J.C?- //1"-.)- OWNER . Or-Ii" Ka .een -:::, ,'eer- FORMER oWNER VILLAGE c!t.'/c iJ I vi c:.. 711" ...., N E I ISi,~'~ ....;. . "~I'. """ DATE OF CONSTRUCTION / ~" r / I}'" \-ra.liCl'~ ~r;~ b\(. ~l;"/;)),,;/;';-) S W LAND IMP. TOTAL DATE REMARKS 9/ ' /I/If,; I; _ /.. fz... .(, ('I v / { J ~') / ~~- C, ,1' li:-I."'/} (I.u ~ t; House Plot / 00 / FRONTAGE ON WATER 5-:~ FRONTAGE ON ROAD DEPTH BULKHEAD Tillable Wacxllond ~Iand Total ~jol J ... - - . . . . . ri'<': ".- ~"'l' '. _ _/ ";b~c:~~:Gff~{~.~~;~t~:~ . ",,;;;oc"\i,,~...._-_. ..... "'. ". . ~~:i<t~~:~fS;:~~f~~:':'::~ :~~,:;';~<,~- - ~':r ~ 118.-5-2.1 12106 ,7J X.1o/ ": s:zf ;Ht.1l/, ..SH M.BI Extension f:u/~ /J~e.I'L /(. l( ;J.F; . Porch 70 al''Z. 06 7:!1""'" I /&1 -''/#'''rl / Will f.. ~ ;!. 9' 0 Foundation {I.tS. II/ex I. ~ .{ ;--0 Bath J- ;X J'Lo 'p .. Basement. ,,=- vi/ Floors Od'::. Ext. Walls I~,I. 5,/ Interior Finish S' /\:, Fire Place ."IClSi ~ Heat /r -3 .../s" ~o Pool Attic Patio rk. Rooms 1st Floor Driveway Boorql.! 1nrt ~Innr f,"". -I !,r'J1/' /iJ,. , ~r . .'-1 1'1' - ,ot I ~i; ::l 'I (, 5' 708 . W '2/06 ~f>N-.. j j ',1 -,:, , j m >< iO' ell " - "'0- ,-. cc"-' ~~v '''. '" "-.- j' , II I .V I \ Iv 11 / ell ,., Ql 0 16 c: 3 " 0- lD Ql ~ ... .. 0' " ~\ ., , -<:: - '. 4 - "- c, ell Ql :;. V f'\ "- "- ~ , .i- \,j 11/02/2007 09:46 7656641 BOARD OF TRUSTEES PAGE 03