HomeMy WebLinkAbout32110-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33091
Date: 06/12/08
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 2420 DUCK
(HOUSE NO.)
County Tax Map No. 473889 Section 83
POND RD
(STREET)
Block ~
CUTCHOGUE
(HAMLET)
Lot 1
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 13, 2006 pursuant to which
Building Permit No. 32110-Z
dated
JUNE 13, 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 issued to THOMAS MEYER
(OWNER)
of the aforesaid building.
N/A
SUFFOLK COUNTY DEPAR1.'MEJ!IT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
7101
05/13/07
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
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)
13, 2006
PERMIT NO.
32110 Z
Date JUNE
permission is hereby granted to:
THOMAS MEYER
2420 DUCK POND RD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE
at premises located at
2420 DUCK POND RD
CUTCHOGUE
County Tax Map No. 473889 Section 083
Block 0004
Lot No. 001
pursuant to application dated JUNE 13, 2006 and approved by the
Building Inspector to expire on DECEMBER 13, 2007.
Fee $
150.00
4:~~A;' 0~/~
/ Authorized Signature
ORIGINAL
Rev. 5/8/02
PERMIT NO.
'3.:i./I08
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets ofBnilding Plans y
Planning Board approval
Survey II<'
Check r>'
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL ~
SOUTHOLD, ~Y 11971
TEL: (631) 765-1802
FAX; (631) 765-9502
www.northfork.net/Southold/
btf ,20~
(3.20-ak-
Examined
Approved
Disapproved ale
Mail to:
/211~20!2l
/
8/lumJl< 'R}l:'-'> 7'11/-.;>&.//5"
Expiration
f~
Building Inspector
__,n._.-- ;::'\
i:';;-~0r' 0 " r.~ \, '
',I ,,\ ,I,' r,'
i i! - . APPLICATION FOR BUILDING PERMIT
I 3
Date
5b5'
,
, 20 0(,
I ,"
~. 'fhis-~ppIication MUST be completely 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 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 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 Southold, 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.
INSTRUCTIONS
(' \.\-1 ~u j( 'VonL ~ L~
(Signamre of applicant or name, if a corporation)
"IMMEDIA TEL Y"
ENCLOSE POOL TO CODE
UPON COMPL.ETION
BEFORE "WATER"
AlL CONSTRUCTION SHALL
~THEREQUIREMENTS OF THE'Y 0
coees OF NEW YORK STATE.
"BDX C;, 6U7l'~~..c A..ff //J'35"
(Mailing address of applicant)
State whether applicant is owner, le~~ee, agent, architect, engineer, general contractor, electrician, plumber or builder
(> n.17'jl..fte.roll.
APPROVED AS NOTED
",lti/{ B.P.#,:J-/(o6
/ ,
DATE:
Name of owner of premises f-' ,
.. .. ~As on the tax roll or latest BUILDING DEPA MENT AT
If ap hcant IS a corporatIOn sIgnature of OOGlllAAN@'1ceR 765.1802 8 AM TO 4 PM FOR THE
~ FUL FOLLOWING INSPECTIONS:
title of corporate offic 1. FOUNDATION - TWO REQUIRED
WITHOUT CERTIFICATE FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
Y 3. INSULATION
4. FINAL - CONSTRUCTiON MUST
RETAIN STORM .....ATER RUNOFF BE COMPLETE FOR C.O.
PUASUANTTO SECTION 45-10C ALL CONSTRUCTION SHALL MEET THE
rv: TW~ TnWN CODE REQUIREMENTS OF THE CODES OF NEW
1. Location ofland on which proposed worR"WilI 1Th (ll)f1"e~' YORK STATE. NOT RESPONSIBLE FOR
.:2'/.2..tJ ">"r.Ji. 'Z'mu'D 77l"> (!u."1uJl)~QK)R CONSTRUCTION ERRORS.
House Number Street Hamlet lIDERWRfTERS CERTIFICATE
";,.v ..,;'i j(QUiREb '".
f9t./?/ . '
"tot j
.- ..
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
County Tax Map No. 1000 Section
Subdivision '^ )1fIJ\f?vn~ /'1AnJci'Z.
(Name)
~~
(I-..{ /.;ryd)
Block 07'
Filed Map No. J!.:239
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .J. ""7tJ1Z..'7' r=z Q/BJ/)c;. __C ..
"
b. Intended use and occupancy ,;l ,~;lfJn.w FA' -;?B;5J7)_~h h>>:r# /A.J4;"17HMJ'D "","''''''''-'J.0(: '?\<<IL
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
5. If dwelling, number of dwelling units
If garage, number of cars
A~. Alteration
~~/AJ6.2<JVAA> _. ............'A-'(>
(Description)
Fee ~sO.dO
(To be paid on filing this application)
Number of dwelling units on each floor
?'-:li:i<..
4. Estimated Cost
.../~ /./Z)(./. JD
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front /.. '3 '
Height ..2S' Number of Stories hZ
Rear {'p 3J
Depth ;>101 I
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 oflot: Front //JP.5'
Rear
,
/btJ. :>
I
Depth J5Z)
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ~/De)f..if/At'-
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO Y
13. Will lot be re-graded? YES J>L NO_Will excess fill be removed from premises? YES_NO ~
14. Names of Owner ofpremises?lt>'1~ H~
Name of Architect
Name ofContractorl'....,~.....,; ~... '-"T>.
Address 2~.1D 'Ad. ... Ii?l>, c....,~one No. ?6.5- ?1W7
Address Phone No
Addressp""",.. ..._u.y.& Phone No. ?~~766'5'
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 K-
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to pr2Perty lines. . MMI'
I' "'~~G., Uil "Y J3T AI03 .
17. If elevation at any point on property is at 10 feet911'QeiuW", must provi&9:~.bg-a1 data %gj&V~~~~:~/~g~31i1'l
~",A1'" .~rk,l ii jV1 ~ (,3aoo'~- "R"" ".,. """"138
,... -,~ .~ Ir'.' _.., '.""
STATE OF NEW YORK)
SS:
COUNTY OF )
::;.L.t'.../'7<-.#!!> C .JH7JJ( being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the b>>v~dK. . "'" -, \./)']0
(Contractor, Agent, COToF!eOffi~~1 ,~;c~ ~ 32U
of said owner or owners, and is duly authorizecttome~vn or have perf~tW work and to make and file this application;
that all statements contained in this application1ll-e {m'e to the best of his '16'i~IM~ and belief; and that the work will be
performed in the manner set forth in the application filed therewith. : j )0 10
20~
\.' ..~} All~, :3"
" \.. " r"'AU(~quq
JO..~~T~O~
Signature of Applicant
ublic
?NA3aI1U
BONNIP, DOR!1BIO
Notary PUblic,"SWOfNew'lbttl
No.01006095328.Suffol~~nly
Term ExpiresJuly7. 20-U..-L
~._-- ,.--------
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following
A. For uew 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 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 uses:
1. 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,
SJldIlll.Oi.n8..!mol $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. .k'J'l4V/ ClfY
New Construction: Old or Pre-existing Building:
Location of Property 61 If B D D lic..l< Pon J {<O o.J..
House No. Street
Owner or Owners of Property: 11" th'na..S t;1 :T"t"'o.-tle+fC. 11 Ie. ~ -e r
Suffolk County Tax Map No 1000, Section , 3 Block 0 'f Lot
Subdivision ltJn(JOQjfJE l/ll'r~f< (mii.yft,/iledMap";;' 39 Lot
Pennit No. 3 :;1.11 0 Date of Permit. to 11'3/ 0(., Applicant--Ih-o.mfl..,S
Underwriters Approval:~. '1/0/
/'-
(check one)
Hamlet
01
f
[!]eye~
Health Dept. Approval:
Planning Board Approval:
Temporary Certificate
Fee Submitted $ :;1~%O
Z 3'3c81
79'Y~.J/
Final Certificate: --L __ (check one)
Request for:
Co.
lr-:t~
Applicant Signature
SUFFOl K+~ l~c~~;:U..::'
... IN'Pi (iO"' n(
40 Nottingham Drive. Middle Island. NY 11953
Telllllhone: 631495 8136 . Fax: 631 9806455 . E-Mail: SBEIGS@gmall.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
Ave., Electric; Inc;
May 5 ,2007
7101
Certificate No.:
Final Inspectfon Date:
Building Penmlt No.:
Suffolk County Tax Map No.:
7101
32110
This Certificate of Electrical Compliance is limited to the inspectfon and compliance of electrical equipment and/or
wor1< described below, Installed bV the applicant named above, located at the premise of and not alter the final
inspection date above:
Owner: TOlft Meyet"
Site Location: 2420 Duck Pond Road, Cutdlague, NY 11935
Owner's Address (if different):
~ Residential o Indoor o Basemem o Service
o Commercial ~ Outdoor o First Floor ~Pool
ON_ o Renovalion o Second FIooI' DAltic
o Add~ion o Survey Olher:
INVENTORY
Single P...... Heat Oupiel< R_ COI"'IJf_
Three Phase Hot_ GFCl Rllqlt Wall Fbctur&
Main PanM At; Ccnd ~ Rllqlt Rete.. FbcluI1l
Sub Panel 8Clcl ACBIlMe, Ranoe_ flo..-
Tra__ -.... D1yet - Emeo1lenc;y
Di9.COnned -... 2 ~LocI< Exd Fbrture8
GFCI Breaker tieBlPump Ele<ttlcHeal PooIlumll1llire
0lheI' EqUlpmOnt:
o Shed
o Hottub
o Garage
HIDFIxtunIs
Smoke
co Detect
Pumps
rrno~
lVSS
EMhaust F.n
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.
License No.: 2069-ME
Date Of Certificate: May 13 , 2007
Applicant A'WY Electric IRe
Inspected By: Gene Sunil
~MWro~
.
~
'-t__
,-
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. ..:... ~
-;';2-1/ c{)-c-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] I~TION
[ 0'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
~.
DATE 57 j..cP Of'
INSPECTOR A
~'.
3"'\\\0&
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
] FOUNDATION 1 ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INS TION
] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESIST~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:C(!)N<:l ~ ~
i~.JJn.A4,c (jj ~J' 6J Ls.
DATE
INSPECTOR /
FIELD INSPECTION REPORT DATE
FOUNDATION (1ST)
FOUNDATION (2ND)
,
ROUGH FRAMING &
PLUMBING
, '
INSULATION PER N. Y.
STATE ENERGY CODE
,
.
.
FINAL
".
,
.
COMMENTS
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SURVEY OF
LOT 7
MAP OF
"WOODBINE MANOR"
FILED DECEMBER 15. 1986 FILE NO 8239
AT CUTCHOGUE"
TO WN OF SOU THO D I .
SUFFOLK COUNTY, N ~Y'l~~
1000 - 83 - 04 - O! ,~i
Scale 1" = 50' ~ i, ~ff
May 8, 1987 x ~ '"'8';'
Aug 30 1988(boh) ~-1'iJ"'''' '0)
J,n 5. 1989 (foundatIon) ~ ~ ~ ~ ~;:, . }
Aug 15. 1989 (fmat) :t' '" a:: ~ ~::t -"1
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CcR TIFIED TO
CHICAGO TITLE INSURANCE OMPANY
EQUITY ABSTRACT INCORPO
THOMAS ANDREJACK
CA THERINE L ANOREJACK
/" - I
k!7,4" /tS4
PECONIC SURVE
(516) 765 - 020
P O. BOX 909
MAIN ROAD
SOUTHOLD N Y
(
5059
Pr~"..d In ."CQrd.nctt with the mmJlftum
.flnd.,d. for t,t1~ .Uf'''.Y. I. Itltf.bl,.h.d
by th L I .ilLS Ind IppfO ved .nd idoptld
to, .ucl1 u.. by Th. New York Sr.t. hnd
T,tI. Auoc"tlon
87 - 389C
ry
~
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VL. FARM
IMP. TOTAL DATE
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IODQ-83-4- (
OWNER
~N\~~ 04-....)&tne.-1t-(.. .
LAND
)200
~ tJ-V
/
?,. () ()
Tillable
Woodland
Meadowland
Hause Plat
\
Total
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET 2.. L{ 2. ()
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N
VI LLAGE
DIST.
SUB.
'(WO
if
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TYPE OF BUILDING /O\.OO';>C~
COMM. CB. MICS. Mkt. Value
REMARKS
'-
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+:
. '
FRONTAGE'bN WATER
FRONTAGe. ROAD
'-'
DEPTH "
#
\ 2oC)
BULKHEAD,
-,
!
s/p;;
Porch
Deck
Breezeway
Garage
:2.3 K 2 (" ,.. Sf}
/ LC 7 t./
O. B.
/-f.P;J' J 0-;1.
<~/
Pool
Patio
Driveway
/
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,
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'2 IIt1 I d !-I. 1\
11- > .~ ::> '~: 0
,
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Rooms 1 st Floor
Rooms 2nd Floor
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H/Iaio"""(OI-OISl
2-4' /Iaio """101-0161
I-t PIaio ""101-0111
190" Corner Sol 101.0201
12-1<"-1' ""11101.210)
1-1IeoI...._.1iI101-1041
1-110l651fo;ghlCopiog Sol ,. lodivIOO-Oll1i
1.10' Coping C.... SolO 0-004)
1-',"" "'Is.. .... ....1
SIZE
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,. Sf.. ___ HOI-009I" panek ,.
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HOI-OI'I t,.,.,. '-' 1-(01-00211....,
IIIll HOI-OI SIS' panels.
.
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StUl PANn OPTIONS
"""0 4-t. plain paneh 1010091 willi.
,-I' ...... panoIlOI-O III
,... rio, '"""" 101-4101
,-I' .... .....101.0121
.-6 103-604-GI.lG3-604-lSI.103..0USJ
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N-GROL'ND SWIMMNG POOL WILL BE CONSTRUCTED
OF STEEL WALLS SL'PPOR T1\iG A VINYl. LINER ~ T
WILL HOLD APPROXIMA TL Y 27.~OO G...lLO-.:S OF WA TER.
FENCE WILL BE AT LEAST 4' HlGIl WITH SELF CLOSING
GA TESTHA T \l.lLL MEET TOWN CODES.
FRONTI:: rot
POOLS"
---.....--.
n............. C!lfl02-&n1
--
h. ....
MA'
1995
FlH04
l"X36'
IKWlGU '"IADIUS
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