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HomeMy WebLinkAbout33168-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33295 l~ate: 09/24/08 · ~{IS CERTIFIES tb~at the building ACCESSORY Location of Property: 2505 BOISSEAU AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 5 Lot 15.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 2007 pursuant to which Building Pemit No. 33168-Z dated JUNE 26, 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 IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to DANIEL & DIANE MCGUNNIGLE (OWNER) of the aforesaid building. SUImFOLK COO1TTY DEPAR~T OF HE~%LT/R APPROVAL N/A ELEt-rKICAL CERTIFICA~ NO. 7466 08/11/07 PLIERS CERTIFICATION DA'r~U N/A ~~uthorize~~ Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT I/~/I ..... I~, TO~ HALL APPLICATION FOR CE~T/F~CATg This application must be filled in by typewriter or i~ and submitted to the Building L)epamnent with the following: A. For new bnilding or new use: 1. Fiual survey of property with accurate location of all buildings, property lines, streets, and mmsual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fora0. 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 2/10 of 1% lead. 5. Commercial building, industriaI building, multiple residences and similar buildings and installations, a certificate of Code Compliance from ardhitect 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: l. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to respect sigued by the applicant. Ifa Certificate of Occupancy is denied; the Building h~spector 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, Swi~rkming 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 New Construction: Location of Property: Old or Pre-existing Building: ~o/~,-'~ ~' ,4,.,e. (check one) House No. Owner or Owners of Property: _ ?J'"~a,~ ~ Suffolk County Tax Map No 1000, Section Subdivision Perndt No. Heald~ Dept. Approval: Planning Board Approval: Date of' Permit. Street Block Request roi: Tempora~5, Certificate Fee Suhnfitted: $ o~-- fiq{o Underwriters Approval: c) .S-- Lot Filed Map. Lot: Applicant:_ ~, //'F/~f~,,v~0A Final Certificate: / _._. (check one) Hamlet ozs--. :2_ Applicant Signatt~7--'- ' + SUFFOLK BUREAU 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Leos Electric Coq) August 11,2007 7466 Certificate No.: Final Inspection Date: Building Permit No.: 7466 August11,2007 33168z Suffolk County Tax Map No.: 55 5 15.002 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 al~er the final inspection date above: Owner: Dan f4cGunnigle Site Location: 2505 Boisseau Ave, Southold, NY 11971 Owner's Address (if different): [~ Residential ~] Indoor [] Commercial [] Outdoor [] New b~J Renovation [] Addition ~ Survey Single Phase Heat Three PhaSe Hot Water Main Panel AC Cond Sub Panel 8ckt AC Blower Transformer Appliances Disconnect Swflehes GFCl Breaker Heat Pump Othe¢ Equi~ 1 -.e~tomafic Chlorinator [] Basement [] Service [] Shed [] First Floor [] Pool [] Hottub I~ Second Floor [] Attic [] Garage Other: INVENTORY Duplex Recpt Ceiling Fbdure HID Fixtures GFCI Recpt I VVall Fixture Smoke Single Recpt I Recessed Fixture CO Detect Range Recpt Fleurescent Pumps 1 O~yer Recpt Emergency ~me Clock 1 Twist Lock Exit Fixtures ~VSS Electric Heat Po~ Luminai~e 1 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: Leos Electric C~rp ,.s,,,,.2:7: Signature:~/'''~ /~-~ ~ License No.: 2199 Date Of Certificate: Aug 12,2007 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33168 Z Date JUNE 26, 2007 Permission is hereby granted to: DANIEL & DIANE MCGUNNIGLE 2355 BOISSEAU AVENUE SOUTHOLD,NY 11971 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR, FENCED TO CODE at premises located at 2505 BOISSEAU AVE County Tax Map No. 473889 Section 055 Block pursuant to application dated JUNE 13, 2007 Building Inspector to expire on DECEMBER 26, SOUTHOLD 0005 Lot No. 015.002 and approved by the 2008. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~FINAL DATE ~ INSPE~vrs ~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION FO~DATION (1ST) ~ FO~DATION (2ND) ~ ROUGH F~G & m PL~G ~ ~ ~S~ATION PER N.Y. m STATE ENERGY CODE ~*~ ' ~, rvc ~ ~x~~,~,. ~DITION~ CO~ENTS ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ,20 Approved ,20__ Disapproved a/c PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Heaith 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Building Inspector APPLICATION FOR BUILDING PERMIT Date 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 adjoirdng 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 a Certificate of Occupancy is issued by the Building Inspector. 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. "IMMEDIATELY" orporation) ENCLOSE POOL,TO CODE ~ CONffrRUCTION SHA[,,I_ (Signa UPONOOMPLETION Mst~r'THEREOUIREMENTSO~,I~E ~t- c~b-}q ~ll(~ /7~Cp ~FORE "WATER" ~O¢ NEW YORK STATE, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises hOl/h O_. ~,~NC ~ d-~ ~1/~ Lq_.~P[2~0VED ~a NOTED (asonthetaxrollorlates~l~..)t~..3.~Ou.. BP#.. }~ ~l[ If applicant isa corporation, signature o~t~~~eCfi~ FEE: ~ .a~)~:' .... ~:,,: _~_ .~_ NOTIFY RLT..D~;'~; ~: "~-'/5~'.T AT Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. (Name and title of corporate o:~USE IS UNLAWFUL - I rHOUT CERTIFICATE OF OCCUPANCY .-, .~. ~ ~ UNDERi~RiTERS CERTIFICATE 1. Location oflarid on which, h.~, roposed work will be done: 3505 pce House Number Street County Tax Map No. 1000 Section Subdivision (Name) Block Filed Map No. 765-1802 8/'!,!.¢' ;:" ;:'gR THE FOLLOW!NG iX:r)[ " 1. FOUNDA ~h ,. :.,,_, F:EOU!RED FOR POURED C, , 2. ROUGH FRA~,N,,~ & PLUMBING 3. INSULATION 4. FINAL - CONSTR: %TiCN MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW ~ DESIGN OR OONSTRUC?O¢ ERRORS. 5 :;..'/5. ' Lot 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 3. Nature of work (check which applicable): New Building_ Repair Removal Estimated Cost ~ Iii, o~cO - Demolition If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Worl/~rT~za ~ v (Description) Fee (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 5,7 Dimensions of same structure with alterations or additions: Front Depth Rear Depth Height 8. Dimensions of entire new construction: Front ~ ~/3 Height Number of Stodes 9. Sizeoflot: Front ~0q' Rear ~[~5' Number of Stories Re= .Depth Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded ~X)L ~0t ~c,/ Will excess fill be removed from premises~_~-S~ NO 14. Names of Owner 9fpremises~'~ [~rq0 t~at~ Address okT~-0ff /~0/~/~ fl,/f_. Phone No. Name of Architect'~n~. %- ~),ttV P~_ ~ Address ~ i~2~c Ld ~amm~Phone No Name of Contractor ~ ~og ~O-s Address dF2q £~ &hq Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO V/' · IF YES, SOUTHOLD TOWN TRUSTEES PE.RMI~-S,M.,~Y BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and~/ti's~an¢~s t0'Property lines. ". 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. '7~¢ 7 g~ g STATE OF NEW YORK) SS: COUNTY OF ) f~ ~'~.1~¢,/~(X5 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ /~0DT't'tlL~-bT~ ~ · ~tor,~gent Corporate Office% ~t~:)! ' ' of said owner or owners, and is duly authorized to perform or hay. e. Peff0ffned the said work and to make and file this application; that all statements contained in this application are tree to tho~best~of his, tmowledge'and belief; and that the work will be performed in the manner set forth in the application filed therewith. ~* ' '.." · ~ Sworn to before me thia~ I~O' day of '.~¢~, etary Public No. 01KI6021 II I Oualifi~l In Suffo& County My Commissiofl Expir~ Mal'~l 8, ~-L 20 OV Signature of Ap~cant OWNER ~ , . J~ STREET ,,.~L,~) O~) VILLAGE DIST. SUB. LOT TYPE OF BLD. PROP, C~SS~ ~ ~ FRONTAGE ON ROAD ~ WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL I I I 55.-5-15.2 4/07 I~ BST~g /{ × [~'-.~ -~' (~' Foundation ca"C Bath Extension '9~Z~ ~lqg } ~ ~.= ¢~g7 Basement ScABCRAWC Floors Kit. Extension 2~ x ~{ = ~ Ext. Walls Interior Finish L.R. Extension / Fire Place Heat Woodstove BR. Patio Porch Dormer Fin. Deck Attic Breezeway ~ Rooms 1st Floor Garage ~ ~ ~ ~ ~5~ I.~0 ~ Driveway Rooms 2nd Floor ~ool Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM EXEMPTIONS: ~ ~.~ Yes ~o / A. Does this project meet the minimum standards for classification as an Agricultural Project. Z Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Will this project retain al Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? Is there a Natural Water course running through the site or is this project within One hundred (100) feet'of wetlands or a beach? Yes No 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to ~ One hundred (100) feet of horizontal distance? V/ 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off ~ into and/or in the direction of a Town Right-of-Way? r'~ 7. Will this application require the placement of material, removal of vegetation and/or the / .construction of any item within the Town Right.~f-Way or road shoulder area? [ I 'f (This item does not include the installation of driveway aprons.) preparation within the one hundred (100) year floodplain of any watercourse? [-~ 8. Will there be site Note: If any answer to questions ~ne through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submiffed for review prior to issuance of any building permit. STATE OF NEW YORK, ! . COUNTY OF.... ~,~'q.F~J~k SS That I, .~(~ I~.....~.~J.f~fi~L~' being duly sworn, ~poses and says that he/she is the applicant for Permit, (Name of individual signing Document) And that He/She is the (~1(~.~ ................ (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owner's, 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 tree to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me this; .................. l~ .......... day of ..7[.)1~ ........................ 2010 J. ~ Notary Public: ... I~Z]~fi{t ....... Lt....~..~S0~ry. ptyo~,.....S{ato.o~ New YO~k ..................... --~ ~ ' No. 01KI60211 I I (Signature of~lSplicant) Qualified in Suffolk Celerity My Commission Expires March 8, 2011 A D Plan A Piping Arrangement Section B-B ~~ /~ ~[~ Section A-A Typical Wall Section PER.CRETE WAI,L SYSTEM 18'~' 18' ~* ii' 14' 6' 4' 5' 8' ~ ~,~ 929 Route 25A Miller Place ~ 117~4 ) ~'x~' ~' ~' 16' 14' 6' 4' 6' 8' ~ ~,~0 (631) 7~-71~5 FH (~1)7~-0174 ~ ~ ~'x~' ~' ~' 18' 14' 8' 4' 6' 10' ~ ~,~ S~fo~ ~cense ~6-~ ~' ~' ~' ~' 16' 8' 4' 6' 10' ~ ~,~ Nassau ~cense ~7~50000 FOR SCDHS USE ONLY GUARANTEED TO: DANIEL McGUNNIGLE DIANE McGUNNIGLE SOUTH BAY ABSTRACT HSSC MOR?GAGE CORP, GENERAL NOTE: THERE ARE NO WELLS OR CESSPOOLS HEREON TO THE NORTH, SOUTH, OR WEST WITHIN 150' OF THE PROPOERTY SHOWN Z o! N 81'16'50"E OPEN FIELO SURVEY OF DESCRIBED PROPERTY SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY', N.Y. SURVEYED FOR: DANIEL McGUNNIGLE DIANE McGUNNIGLE TAX MAP NUMBER 1000-.055..05-015.2 OPEN S 81' 16' 50" W 242.68' N/FQUAD ENTERPRISES, &: CO. TEST HOLE DY MCDONALD GEOSCIENCE 15 JAN 02 ORIG. GND. BROWN SILTY LOAM GL PALE BROWN FINE TO COARSE SAND SW 17' N/F BOHN RESIDENCE OPEN FIELD SERVICED BY MUNICIPAL WATER _ s o~' 3s[ 20" wi ....... S 81' 16' 50" W 204.65' I / N/F MARTIN RESIDENCE SERVICED BY SCWA SURVEYED: 10 DECEMBER 2001 UPDATED: 22 APRIL 2003 SCALE 1'= 50' AREA = 63,828 S.F. OR 1.47 ACRES SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. 130X 294 NEW SUFFOLK. N.Y. 11956 631-73 -5835 _,~$ Lic. Nd. 49273 / /03C1228R-2