HomeMy WebLinkAbout32923-Z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33222
Date: 08/14/08
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 1265 VANS TON
(HOUSE NO.)
County Tax Map No. 473889 Section 111
RD
(STREET)
Block 4
CUTCHOGUE
(HAMLET)
Lot 26.3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 13, 2007 pursuant to which
Building Permit No. 32923-Z
dated
APRIL 19, 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to ARON & HILLARY SCHWARTZ
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3065410
05/05/08
PLUMBERS CERTIFICATION DATED
N/A
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Rev. 1/81
07-10-2008 13:51
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50UTHOLD BUILDING DEPT 15317559502
'I
Form No.6
TOWN OF SOUTHOLD
811JI.OlNG OEPARTMENT
TOWN IIAI.L
765-1802
PRGE1
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APPI.ICATION FOR CF.RTWICATJi: OF OCCUPANCY .: c' .
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This uppllcatlon must he tilled 111 by typewnter or lIlk anu subllUlleu to the BUlldlllg Oepartmeftt WII~ ,,~lL.::-::.:
A. For new building or n~w use:
1. Final slllvey of propel1y with accurate location of aH buildings, property lines, streets, and uflllsl1alllalur~1 or
lopographic ll.:afurcs.
2. final Approval fromlleallh Dep!. of water supply and sewernge-dispORal (S-9 form).
3. Approv:d of electrical installation from Doard offire Underwriters.
4. SWOlTl sllllcmcnl irolll pi limber cel1ifyin~ t.hat the solder used ill systcUl eonlains less than 2/10 of I % lead.
5. Cl1mlllcrcial building, induslri"l build;n/:, multiplc residem:c:; and simil"r buildings and inslallalions." ecrlificale
oJ"Code Compliance li'om "rchiteet or engineer responsible for the building.
6. Suhmit T'lallning nmll'd ApPl'nval of completed site plan requirements.
..
n. For existing huildhll(S (1'1'101' to Avril 'I, 1 '157) 1I0u-~onCol.ming IIses, or buildings alld "JII'c-cxistillg" 1",,11 IIS'S'
I. ACelll ale ~lIn'ey f.r propcI1y showing all propcrly lines, slreels, building and unusual "alural or 1C.l1J')l(H1phit
killlln..'S.
}.. ,\ pnlp,~rly c:p111Jlkl,:d :lppli,:alioUil1ld cOnscntlu inspect sigHed hy Lhe upplk:t11t. ffn CGI1iticnte ofOcCtlpallcy is
cknied. Ill(: Building IlIspL'CWr ~halJ :\tale the reason:; therefi)1" in writing to the arpli(~;lI1l.
C. F ."s
I. Cc.titieatl> "r OCClIl""'C)' - New dwelling $25.00, Addilions to dWl>lling $25.00, Allerati""s 10 dwelling $25.00,
!jwill1min:.! pool :l;25.00, l\cccl"sory huilding $25.00, AdditiOfls to .tccc."sory bt1ildill!~ $25.(lO, B\lsineS5~$ $50.00.
/.. C\:J1ifieale OfOCClIpHI1l:Y "11 )'n:-ex;sl;lIg Hllildill!~' $100.00
3. Copy n.fCerlilknte n.rC.k:(:ul'''Il<:Y - $.2.~
4. Updated CCI1ifkmc \'!"-OceupHnl'Y' $SO.OO
5. T eml)orary Ceniricme or OC(:upmlcy - ResidmliHI $15.00. COl1unercial S15.00
Date.
,~!I /bl
Loca{i')1I orPrnperly~
/'
!2<O5
l-lnusc No.
Old OT Pn:.existinp, nuildirlrr (eh(:ek onc)
VOVlS-h.--. ~__I C. v+c:-hOO II-<:
Street
0l1IaV'l( 4 ~$C.hWo.V"{-~
\ I I l:Ilock 0 l.f
New (:<)I1sln,clion:
lIamlel
Owner nr OWrler~ or Pn1perty:
Suft'1lk Coul1ty Tax Ma" No I oon, Section
T.nl~~..~
filed Map_ ._ T .nl : _. (), i.. -< _
Lf /(lkz.. Applicant: 13ov(''f Bl9(;:'~).~V1d~op' ~~~
Undelwriters Allproval: "30 10 5,-/ 10
Subdi vi~i\ln
Permit No . _3 :z- '1. z, "3
I late of I'ermil..
Healrh n~'P1. Approval:
Plarluing Bonnl Approvnl:
Request for:
Temporary Ccrtificlllc
Final Certificale:
v/
( (:heck one)
Fee Submitted: $ 2--5,00
p~
Applicant Srgnature
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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.
32923 Z
Date APRIL
19, 2007
permission is hereby granted to:
ALBERT JR ROMERIL
1265 VANSTON ROAD
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS APPLIED FOR
at premises located at
1265 VANSTON RD
CUTCHOGUE
County Tax Map No. 473889 Section 111
Block 0004
Lot No. 026.003
Fee $
250.00
13, 2007 an
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) :]65-1802
FAX: (631) 765-9502
www.northfork.net/Southoldl
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Building Ins c
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health /1-/0
4 sets of Building Plans";" '>
.
Planning Board approval
Survey y~ S
Check V.( S
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mailto:.&fVI/ Block:.L?tv0'Y~
I
Phone: 031 - fny - 3 'f ~()
PERMIT NO. 381~g.. ~
Examined
Approved
Disapproved ale
,20+
,20_
Expiration
,20_
;:~\l
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7
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APPLICATION FOR BUILDING PERMIT
Date ApY'j I \ 3
INSTRUCTIONS
,2007
a. This application 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 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. ! .. _.L '
. C "'t'VH".'~
FnVrLf ~!~e1:.~a~~~~orati~'
Pi) t:xJX 17~ &sf mdnCks//,lIY / jCj ~ /)
(Mailing address or applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
JJ}nd5C~ (0lJ,~r'~
Name of owner of premises /f-v1/Y1 a J--h j J a II1j S c /ril{)a.vt 7
(As on the tax roll or latest deed)
alure of duly authorized officer
PO
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 3 E>q & 7 - f-I (5 1I.Ph, / IL ~m ~ )
I. Location of land on which roposed work will be done:
12 n
House Number Street
County Tax Map No. 1000 Section I J I
Subdivision ;1,/()5<;1.1// r'/tlh jJ~~.2
(Name)
Block () '-I
Filed Map No. !:l
Lot OZ"',3
Lot 3:::'(;'
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy no YJ -'t/.S-e GO cJ()c<Od c?t Yl_<'2..
,
b_ Intended use and occupancy nJl >0) 'POo J d: S P ~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work Pn(') I
Alteration
6- sft:J
(Description)
5. If dwelling, number of dwelling units
If garage, number of cars
$26?> ,60
(To be paid on filing this application)
Number of dwelling units on each floor
4. Estimated Cost
81eS; 000
Fee
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 I () ~, 00 \
10. Date of Purchase /"or) to
Rear 103_ 0 'II Depth;;2 ::,<-// 00 I
Name ofFormer Owner Whld~ ~ Rlbcvf RtJYYl.e-v; I
@one 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 L ~O_
. Cv+c.Vt"~ I/J'I !hllaYL{ w~
14. Names of Owner of premises :;(~hl~)f.lY'h Addressl2..b5' Vans+'-" Q,,( Phone No. '(JI';).)7Cz-IJI7
Name of Architect Address Phone No
Name of Contractor Address Phone No.
IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAYBE 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:
COUNTYOF~
--13~~ -A,.-, VI bloc'^- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
- L4/'u:/St':
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 ~efore me this
\ ~ day of P--JL
20~
y~~
t/ Signa~f Applicant
JAMES B. KLEINER
Notary Public, Stat. of N.w York
No.01KL6003093
Quell1led in N....u County
CoIMIIeaIon Expires
212-~ (9<11 <$
rr
3-;-? QL3 Z
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
DATE S - Y - 0 g
INSPECTOR ~ ~
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING 0 FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT ~. UCTION [ ] FIRE ~ PENETRATION
REMARKS: ~~. ~
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DATE
INSPECTOR
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30l-~ ~3 :L
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
/~
[ ] ROUGH PLBG.
[ ] INSULATION
[M... FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETMnON
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DATE :;... ,.... ~S - 0 't
INSPECTOR ~~~
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FiELUIi"SPECTION REPORT DATE I
COMMENTS
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FOUNDATION (1ST)
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PERN. Y.
STATE ENERGY CODE
FINAL
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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
QUINLAN ELECTRIC
169 BAY AVE
HAMPTON BAYS, NY 11946,
HILLARY SCHWARTZ
1265 VANSTON RD
CUTCHOGUE, NY 11935
1265 V ANSTON RD CUTCHOGUE, NY 11935
3065410
Certificate Number:
3065410
Block:
Building Permit: 32923
Lot:
BDC:
ns11
Described as a occupancy, wherein the premises electrical system cons~f
electrical devices and wiring, described below, located inion the premises at: .
Outside, PoolISpa,
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 5th Day of May, 2008.
Name OTY Rate Ratin. Circuit ~
Appliances and Accessories
Paoli Spa Bonding
Pool Heater
Panels
I 0
2 0
100
I I
3 0 20a
2 0
I 0
3 0
Oil
9
Wiring and Devices
Receptacle
Receptacle
GFCI Circuit Breaker
Fixture
PoolI Spa
GFCI
Paoli Spa
PoolI Spa
(Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have
frequent test and/or repairs made by a qualified person.
seal
I of I
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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OWNER
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FORMER OWNE
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3 TOWN OF SOUTHOLD PROPERT~~RD CARD
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STREET VILLAGE DIST. SUB.
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W TYPE OF BUILDING
FARM COMM. CB. MICS. Mkt. Value
DATE REMARKS
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SEAS. VL. 9
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FRONTAGE ON WATER
FRONTAGE ON ROAD
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Voodland
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DEPTH
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..25 t Ext. Walls .'.~c~ ',-" ~:~"';'L Interiar Finish
Fire Place Heat
Type Roof G "'~Lrs. Rooms 1st Floor
Recreation Room Rooms 2nd Floor
Dormer Driveway
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FORMERL Y OLD COVE ROAD AS PER FILED MAP
N 60' 4'10"E 103.04'
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LOT 338
SURVEY OF
LOT 336
IN MAP OF SECTION D
NASSAU CLUB PROPERT/ES,/NC,
SITUATE
CUTCHOGUE, TOWN OF SOUTHOlD
SUFFOLK COUNTY, N,Y,
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GUARANTEES INDICA. TED HERE ON SHALL RUN
ONL Y TO THE PERSON FOR ~OM THE SURVEY
IS PREPAREO, AND ON HIS BEHALF TO THE
TITLE COMPANY. GO'ltRNM[NTAL AGENCY,
LENOING INSTlTUnON. IF LlSTto HEREON, AND
TO THE: ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTrE:S ARE NOT TRANSFERABLE TO
ADomONAL INSTlTUTlONS OR SUBSEQUCNT OWNCRS.
SURVEYED: 21 FEBRUARY 2006
SURVEYED FOR:
ARON SCHWARTZ
HILLARY SCHWARTZ
SCALE 1 "= 30'
UNAUTHORIZeD AL TfRA nON OR AODmON TO THIS
SURvey IS A VIOLA nON OF SEcnON 7209 OF
THE NEW YORK STA TE fOUCA nON LA W.
AREA = 24,307 SF
OR
0,558 ACRES
COPIES OF THIS SURvey MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
" COPY.
FM# 806
DATE FILED MAY 7, 1926
TM# 1000-111-04-026,3
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW S FFOLK. N. Y. 56
631- 4-5835
GUARANTEED TO:
ARON SCHWARTZ
HILLARY SCHWARTZ
COMMONWEALTH LAND TITLE INS, CO.
AMERICA'S WHOLESALE LENDER.
itself or as agent for Countrywide Bank, NA
VANSTON
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LOT 338
SURVEY OF
LOT .3.36
IN MAP OF SECTION 0
NASSAU CLUB PROPERTIES, INC.
SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
GUARANTEED TO:
ARON SCHWARTZ
HILLARY SCHWARTZ
COMMONWEALTH LAND TITLE INS. CO.
AMERICA'S WHOLESALE LENDER,
itself or os agent for Countrywide
CUARAN lEES INDICA TED HERE ON SHALL RUN
ONL Y TO rHE PERSON FOR Kt/OM THE SURI/E:Y
/5 PREPARED, ANO ON HIS BEHALF TO mE
nnE COMPANY. GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, ANO
TO THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEOUENT OWNERS.
UNAUTHORIZED AL TERA nON OR ADDITION TO THIS
SUR'lfY /$ A \I10LA nON OF SECTION 7209 OF
THE NEW YORK STA TE EDUCA nON LA W
COPIES OF THIS SUR'lfY MAP NOT BEAR/NG
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
SURVEYED: 21 FEBRUARY 2006
SURVEYED FOR:
SCALE 1"= 30'
ARON SCHWARTZ
HILLARY SCHWARTZ
AREA = 24,307 SF
OR
0.558 ACRES
FM# 806
DATE FILED MAY 7, 1926
SURVEYED BY
STANLEY J. ISAKSEN, JR.
P.O. BOX 294
NEW S FOLK. N.Y. 11956
631-7 4-5~~~ _____
LAND RVEYOR
No. 73 06R1474
TM# 1000-111-04-026.3
22 JULY 08 FINAL SURVEY
Bank, NA