HomeMy WebLinkAbout33735-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 08/08/08
No: Z-33196
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2860 LESLIE
(HOUSE NO.)
County Tax Map No. 473889 Section 98
RD
(STREET)
Block 1
PECONIC
(HAMLET)
Lot 2.6
subdivision
Filed Map 1110.
Lot 1110.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 5, 2008 pursuant to which
Building Permit 1110. 33735-Z
dated
MARCH 14, 2008
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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to RICHARD D & THERESE L WHITNEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DKPARTMEIIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
8734
06/21/08
PLIlMBERS CERTIFICATION DATED
N/A
~i~
Rev. 1/81
08-01-2008 09:32
SOUTHOLO BUILDING DEPT 16317659502
PAGE2
Form No. (,
TOWN OJ<' SOlJTHOLD
BUILDING DI!:1' AKTMRNT
TOWN HAI.l.
76!\-1802
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APPLICATION I-'OR CEUTIFICATF. OF OCCUl'ANL
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Thi. applicalion must b" liUed in by typewriter or ink and submitted to th" Building Depalt",ell!. with the following:
A, For no", building or new ..se:
1. Final sUlVey of propel1y with "ccum'" 1,",,,t;on of "ll buildings, propeJ1y )jue., .Ir",'[s, and ullIl.uitln.tural 01-
top' )grap.l i,: [l:al,l.lfcS.
2. !'in.l Approval f.'om Ilealth Dept. nf wat", .upply m,d "c",cmgc-disposal (S-9 tl.crn).
.3. Approvut of dc"l.1ieal insl"lh.(ion fwm Board of Fire Underwrite"s.
~ _ Sworn statement from plumber cel1itying that the solder used ill NYNlcm contains le<< th,,,, 2/10 of 1% kad.
5. Commercial huilding1 induf;tl'ial huilding, trlUhiplc re~id{:m:G~ and similar huildiTll}~' and instalIl=ttions, a certificate
of Code CompliaTlcc frOlTl arc.~lil!,cd or cllHirH:er rcspOJ1!)jbk for the buildiIlg..
G. ~lJhm;1 I>llllllling BOItr<1 Approval of completed sil': plallrequiremelltil.
B. FOI' existing buildings (pl'iol' to April 'I, 1957) lIon-coufonll;n!; """, or b"i1dil1~~ :1I111 "pn'-existillg" land IIses:
1_ Accurate :mrvey of prnpetty showing all properly lilies, s!nTls, I)lIIJding and lUH.I~lIall1alllral or t.opographic
fe.aILLre~i.
2. A IHO)H..:.rly c'Olllpletcd applic~ll.iDll iJlld COllsel.l[ 10 jH~pl..~CI slJ.:,rnGd by the ,lpplicillll. II' a Ccrliticnte of Occupancy i:;;
de1\led, the HlIildin!~ Inspcelor :-:hall sll1le lhc ]"(:a~WIlS lhcn~.fi:.)r in WI iling h\ the appl1cnnC
c. F(~('.",
1. Ccrliflc"h: of O,:(,up'llle)" - N"w dwdling $25,00. ,\dditiolls In cJl",:lIiup $2'd.lO, l\j(cr~li(IlI' to dW(llling $25.00,
Swimming pool .$:'?'5,O{\ ACGf.ssory building $25,00, Additioll:-> to aecC".';.~;OI]. I.mi.ldtn.~ $25.00. HlJ~jncsse::; $50.00.
1. CerlinCHI(~ ofO'xupun<..~y on Prc-(~xi.'~ling Building - $100.00
:1. Copy ofCc:rtifil'ateofOecllpaney - $.25
4 Updated Celtitic<1\e ofOccup"ncy - $SO.OO
5. .'.empornry C~rtificate ot.C)cel1JXlI1C)' - ResideIltjaf $15.00, Ctllrllllercla( $1 S.OO
Date. n__~ - .:ft ,O~
.. / S....,........,\o..t(.. ~L
New Comln:,'lion: _jL._.___.__.__ Old or Pre-existing Duildillg.:
"
Location or Pmp'''1.y: :2.b<6b Lf6l,.1 e.. l2.t>.
House No. Sln.~d
(dKCk one)
~,.L\'-
.~~.
Hamlet
OWller or Owners of Propei1y:
Suffnlk O:ll:nty Tax /I11\p No !OOO, Seclion._~.
Block
01
Lot 2... b,
Suhdivi~ioll
l'iledMap.
Date of l'crll1it.~-:\4.,:,_~R Applic:;ml.:
__.... UlldeJw!iterN Approv"l: 1:il ~rJ34
L,,(:
Permit No -M 33. '3 5
Health Dcpl. ^pproval: _n__
1'1Imning Board Approval:
(b-'2.\-O~ ')
Requc"t 1,">1':
Ternporary Ccrfifk~dc..:__
Fim'-;'Certificate: _._L
(c:heck one)
Fce S\lbmltted: $ "::1 C" """
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Co =2:33\ '\\0
eo c:.. ""41d.~
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Appl'll.ant Signature,
SUFFOl/_
BUREAU ,i
f: i. C 1 ,{ ..",
INS f-' tel 0 Ii S
f' C
40 Nottingham Drive. Middle Island, NY 11953
Telephone: 631 4958136 . Fax: 6319806455 . E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
V.Allegretta Electrical Corp
June 21 ,2008
8734
Certificate No.:
Final Inspection Date:
Building Permit No.:
Suffolk County Tax Map No.:
8734
June 21 ,2008
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: Three Pillars Three Pillars
Site Location: 2860 Leslie road, Peconic, NY 11958
Owner's Address (if different):
~ Residential o Indoor o Basement o Service
o Commercial ~ Outdoor o First Floor ~Pool
o New o Renovation o Second Floor o Attic
o Addition o Survey Other:
INVENTORY
Single Phase Heat gas Duplex Recpt Ceiling Fixture
Three Phase Hot Water GFCI Recpt 2 Wall Fixture
Main Panel AC Cood Single Recpt 3 Recessed Fixture
Sub Panel 8 AC ~Iower Range Recpt Flourescent
Transformer Appliances Dryer Recpt Emergency
Disconnect $witches Twist Lock Exit Fixtures
GFCI Breaker Heat Pump Electric Heat Pool Luminaire 3
Other Equipment Sub.Panealls a Pentair Water-Easy Touch programmable control
o Shed
o Hottub
o Garage
HID Fixtures
Smoke
CO Detect
Pumps 2
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: V.Allegretta Electrical Corp
Inspected By: Gene Surdi
Signature: ~~.
License No.: 35591-me
Date Of Certificate: Jun 24 , 2008
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.
33735 Z
Date MARCH
14, 2008
permission is hereby granted to:
SCOTT MOODY
2860 LESLIE RD
PECONIC, NY
for :
INSTALLATION OF AN INGROUND SWIMMING POOL AS APPLIED FOR
at premises located at
2860 LESLIE RD
PECONIC
County Tax Map No. 473889 Section 098
pursuant to application dated MARCH
Block 0001
Lot No. 002.006
5, 2008 and approved by the
Building Inspector to expire on SEPTEMBER 14, 2009.
Fee $
250.00
/~2L.l~ fu
! Authorized Signature
ORIGINAL
Rev. 5/8/02
.'
TUWN OE SOUTBOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.netlSouthold/
PERMIT NO.
13/3s--c..
BUILDING PERMIT APPUCA nON CHECKLIST
Do you have or need the- following, before applying?
Board of Health
4 sets of Building Pl_ ./
Planning Board approval
Survey ,./'
Check:if ~ & ~ /I
Septic Form
N.Y.S.D.E.C.
Trustees
ContacC
3/ If ,200r-
..,/ft-, 20~
,
Examined
Approved
Disapproved ale
Mail to:
Phone: 7 J '( - n ') 7
Expiration
q lIef, 200!/-
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,uU! MAR 5 ... 'WI
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Building Inspector
AFPLlCATION FORBUlLDINGPERMIT
Date
'3-'5'
,200~
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 oflot and of buildings on premises, relationship to adjoining premises or public streets or
are8s, and waterways. .
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon alWroval of this application, the Building Inspector will issue a Building Pennit to the applicant. Such a permit
shall be kept on the premise" available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any pnrpose 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.
APPLICA nON 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, bmTdfug code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
"IMMEDIATELY" OCCUPANCY 0
EN~~E~~1~,~DE USE IS UNLAWF~. Rll~ lD3'3 \ 1lM-~ e"""l5 w~.
BEFORE 'WATeR. 'WITHr\IIT CERTIFICATE (Mailing address of applicant) . Ilq4b
,',Qt.t$T.BlJk~r:('!~~ SHALL . . ~ \. ~
J~ift~"R~dtJIf(t~'K~g"&r~see, ~ec~eer~~eneral contractor, electrician, plumber 00uilder .J
CODES OF NEW YOF,K STATE. UNDERWRITERS CERTIFICATE
, REQUln~l} APPKOVl:U Ai) NOTED
Name of owner of premises SCOTT ~\COD'{ mI'I' ~/rl'f G.i'.H ~?1 ~,e
(As on the tax roll or I r in, j " ;u/
ignature of duly authorized officer ;-cS:.~~..... . r;:: _.t:C~_
~S . NOTiFY BUI,,['!"'" '1i:P''f:;TMENT fIT
e and title of corporate officer) 765-1802 8 t:: \~ FOR THE
FOLLOWING IN3'-;;::, ,;OJ,":
'A.. ~ ,,- -\ u.'~..... 2.'1........ FOUNDATIJN . TNO REQUIRED
<..u~.....~\......... , "'L ....... "'~
1'0" POURED CC;.;:;F.ETE
2. HOUGh - FRf1.IYi~G & PLUMBING
3. INSULATION
4. FINAL. CONSTRUCTION MUST
BE COMPLETE FOR C.O.
CONSTRUCTION SHALL MEET THE
~
Builders. License. No.. ' Su~
Plumbers License No-.
Electricians License No.
Other Trade's License No.
1. Location ofIand on which prol.'osed work will be done:
2 '260 Lt! I ,~~
House Number Street
Pfco
County Tax Map No. 1000 Section C\ ~
Subdivision E'tl.S'i ~Il.l.. 5fL"tlOU 1
(Name)
~ tsTATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTIQN ERRORS.
Block 0\ Lot '2..6
Filed Map No. tot 5
...--
..
L State exis~n~ II." "nd OCCupancy of premises and intended use and occupancy of pwposed construction:
a. EXlstmguseandoccupancy S\\.l(,.\.L. +:~n..'-( l2f.SIDfA-l<.E
b. Intended use and occupancy D~c::.\D~T\"O-l... 'SWl"l--\\-\t~(,.. ~OOL..
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cos~ So. 000 .60
.
Addition Alteration
Other Work :5"'-'1>-\....''-\1.- ~ool.. CQ\.l<;'\"'l....c.-tto'"'
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
Fee $ '250.60
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, 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 oflot: Front Ie:::;- Cl 1
Rear
\&5 1
Depth 2.1C:; \
10. Date of Purchase .::re.u \g~~ 2.00cg Name of Former Owned!IOJ."01e.C W ~I"\' wEY
II. Zone or use district in which premises are situated
ILDoes proposed-construction. violate any zoninglaw, ordinance or regulation? YES_NO_
13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES ~ NO_
Phone No.
Phone No
Phone No.
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
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 MAYBE REQUIRED.
b. IS tfifs property wiIhin 300 reet of a tidal wetland? * YES_NO ~
* IF YES, D.E.C. PERMITS MAYBE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
\i ;'):
;\. ~
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on sl\fVey.
STATE OFNEW YORK)
SS:
COUNTY OF2u~.
/.! a.ri u?J em a~ being duly s~~s and sa.ystbat(s)heis the applicant
(Name of individtllll signing contract) above named,
(S)He is the
(' ffi'lra. c.IiJl
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perfonn or have perfonned 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
perfonned in the manner set forth in the application filed therewith.
Sworn to before me this
S day of KCLY d1 20 l>f('
~~
THERESA H. ROLFE
NOTARY PUBUC. state of New York
No. 01R05064745. Suffolk County
Term Expires <g{;}0{ /0
\~'~~
Sign of Applicant
33735:2-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL k:
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: f'rraZ ~
k ok,
~~ 4. '''P'e~
~"d~ ~\&,
DATE 7.-- 30 - rJ 'I
INSPECTOR
~~
3373Sc-
TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [ ] I~ATION
[ ] FRAMING I STRAPPING [P'1FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESI~ CONSTRUC'nON [ ] FIRE RESISTANT PENETRATION
REMARKS: I AI ( ~lj :/0 ~
'J.N't. '
DATE JJ- 2> / OJ> INSPECTOR
r' .
FIELD INSPECTION REPORT DATE I
FOUNDATION (1ST)
------------------------------------
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
COMMENTS
.
.
.
f--- --
INSULATION PER N. y, --
STATE ENERGY CODE
FINAL
.
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ADDffiONAL COMMENTS
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Y Dung & Y Dung
400 Ostrander Avenue, Riverhead, New York 11901
631-727-2303
Howard W. Young, Land Surveyor
ThD'mas C. Wolpert, Professional Engineer
Robert C. Tast, Architect
Douglas E. Adams, Professional Engineer
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SANITARY MEASI,)F<.EMENTS
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NOTES
AREA = 42,166 SQ. FT.
. 5lJ6DIVI510N HAP 'EA5T HIl-l- 5ECTION I" FIl-ED IN THE
OFFICE OF THE Cl-ERK OF 5IJFFOl-K COUNTY ON
NOV. 2Q, IQ15 A5 FIl-E NO. 6044.
SURVEYOR'S CERTIFICATION
. N: HEREBY CERTIFY TO SCOTT MOODY, SKYL.INE
TITL.E, L.L.C & UNITEO GENERAL. TITL.E
INSURANCE COMPANY THAT THI5 5URVEY ~A5
PREPARED lN ACCORDANCE ~ITH THE CODE OF PRACTICE FOR
l-AND SURVEYS ADOPTED BY THE NE~ YORK STATE ASSOCIATION
OF PROFE5510NAl- LAND SURVEYOR5.
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HO~RD ~. YOUN6, N.Y.5. L.S. NO. 4SeQg
SURVEY FOR
SCOTT MOODY
LOT:; "EAST HILL SECTION I"
At Pec.onlc., TOll'ln 01' Southolcl
SUTTolk Count~1 Nell'l York
County Tax Mop OIol'lclIOOO SecUon "IB Block 01 Lol 2.6
I TITL.EIFINAL. SlJRYEY
HAP PREPARED
DEC. 20, 2001
SGALE: 111=50-
..J06 NO. 2001-0556
DI'OSo. 2005_0996_'"
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GENERAL NOTES
I THE OESIGN 1$ .ASE 0 ON .. [,P4,~AGE 5tJl.L WI' 11 < 10% ':":.. T
GROUND WATER SHALL NOT (XI';of WrTHrJ,j r~E l:IrotIT<; ,Jf hie
[XCAVATlO" IF GROUND .'T(F1 [)'IST~ WITI-i'~ F,". o' "[LOW r;RA~r
SPECIAL DEWATEJtYlG.,,,CH..lTlfS WILL Hf urOv-~Er WA.[ F'l
DlSftOSAL ISLlIlllITEOTOOW~ERS PRO~(RTl 'Gt.!Tf<lAlToJP ![R,ff
2 NO IU"CHARGE ALLOwED WITHIN 4 -0.' o~ St1ALLQW E~[' APolO
6' -0" OF DEEP END
ACCESSORIES a APPURTEtr.lANCE 5 SHALL bE BY
'7
OTHENS. ALL WORM SHALL CONfORM TO THE
LATEST STANDARDS OF TtotE NATIONAL SWIM"'ING
POOL INSTITUTE "NO LOC.6l "'OOfS
...
>
(OIV1P\1G 806AO
(OPflONALI
'-
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.AT[~ LINE
_____Z______
UNDERWATER
l,GH1
"A'N ORA IN
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SCHEMATIC PIPING ARRANGMENT
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GUNllE
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MAIN SUCTION
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12' RADIUS
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PRECAST ":'OPING
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11 Wooded Lane I PO Box 1033 Hampton Bays, NY 11946
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