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