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
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A horized Signature
Rev. 1/81
.
(05- ~3~D
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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)
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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.
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Authorized Signature
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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
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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.
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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
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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.
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FM# 156
DATE FILED AUGUST 16, 1922
TM# 1000-118-20-001
GUARANTEED TO:
PHILIP BUFFA
MARIA BUFFA
MKM ABSTRACT
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SURVEY OF
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PART OF LOT 105
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IN
AMENDED MAP "A" OF
NASSAU POINT
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
SURVEYED FOR: PHILIP BUFFA
MARIA BUFFA
GRAVEL DRNEWAY
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444.00'
SURVEYED: 15 OCTOBER 2007
SCALE 1 "= 40'
AREA = 43,479 SF
OR
0.998 ACRES
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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 ~ ~ ~,
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INSPECTOR ~ ~
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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~
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DATE I ~ ~ 1 ~ {) 1 INSPECTOR ~< fl.t.--
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FIELD INSPECTION REPORT DATE I
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COMMENTS
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FOUNDATION (2ND)
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ROUGH FRAMING &
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INSULATION PER N. Y. ~~
STATE ENERGY CODE
FINAL
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ADDITIONAL COMMENTS · \:).
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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
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Examined
Approved
Disapproved ale
Mail to:
Phone:
Expiration
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Building Inspector
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APPLICATION FOR BUILDING PERMIT
Date //- ~
'" 20pZ
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INSTRUCTIONS
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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.
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Hamlet
.1-'C.8UIRED
:TE
, .. PLUMBING
I. Location ofl~nd on whic~ Iloposed work w'
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House Number Street
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."'Lot.. .
.'
County Tax Map No. 1000 Section
Subdivision
/ { 8'
Block b
Filed Map No.
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(Name)
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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
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,
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.).. ' ,
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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.'
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Signature of Applicant
IIETS'I A PERKINS
...., PublIc. State 01 NlM"'"
No otPE 6130636 8
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FORMER oWNER
VILLAGE
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DATE OF CONSTRUCTION
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IMP.
TOTAL
DATE
REMARKS
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FRONTAGE ON WATER 5-:~
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Tillable
Wacxllond
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Total
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J'Lo 'p .. Basement. ,,=- vi/ Floors Od'::.
Ext. Walls I~,I. 5,/ Interior Finish S' /\:,
Fire Place ."IClSi ~ Heat /r
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Pool Attic
Patio rk. Rooms 1st Floor
Driveway Boorql.! 1nrt ~Innr
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11/02/2007 09:46
7656641
BOARD OF TRUSTEES
PAGE 03