HomeMy WebLinkAbout33838-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-33341
~te: 10/21/08
THIS CERTIFIES that the building INGROUND SWIMMING POOL
Location of Property: 935 ROCKY POINT RD
(HOUSE NO.)
County Tax Map No. 473889 Section 31
Subdivision
EAST MARION
(STREET) (HAMLET)
Block 1 Lot 5.3
Filed ~ap NO. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 15, 2008 pursuant to which
Building Permit No. 33838-Z dated APRIL 22, 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 PANAGIOTIS KARAKALPAKIDIS
( OWNER )
of the aforesaid building.
S~LKCOI~I~fDEPART~T OF }~J~TH;%PPROVAL N/A
EI~-rKIC~L Cq~RTIFIC-ATH NO. 4005866 07/31/08
CERTIFICATION DATED N/A
Rev. 1/81
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 new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. 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 2/10 of 1% 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 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swinuning 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: Old or Pre-existing Building:
Location of Property: q
House No.
Owner or Owners of Property: ~J,t?Z.I,'6E/z~rCF,[ ~ff-ttdt'C~ ~671a0'_~
.......
Suffolk County Tax Map No 1000, Section
Subdivision
Date of Pemfit.
Permit No.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~--~ ~ ~
Date.
(check one)
Street Ha~et
Filed Map.
Applicant:
Lot:
Underwriters Approval:
Final Certificate:
(check one)
Applicant Signature
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
QUALITY ELEC. INST. INC.
23 VIRGINIA AVE
PLAINVIEW, NY 11803,
PETER KARAKALPAKIPS
935 ROCKY POINT ROAD
EAST MARION, NY 11939
Located at 935 ROCKY POINT ROAD EAST MARION, NY 11939
Application Number: 4005866 Certificate Number:
4005866
Section: Block: Lot: Building Permit: * BDC: ns11
Described as a Swimming Pool occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Outside, Pool/Spa,
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 and/or 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 31st Day of J.ly, 2ogs.
OTY Rathe Rating Circuits Type
Name
Appliances and Accessories
Pool / Spa Bonding 1 0
Pool Heater I 0
Time Clock Switch I 0
Panels
I 50 6
Gas
Wiring And Devices
Fixture 1 0 pool Incandescent
GFCI Circuit Breaker 1 0
Receptacle I 0 GFCI
Receptacle I 0 20a-pool Special I twist lock
(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.
I of I
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 33838 Z Date APRIL 22, 2008
Permission is hereby granted to:
PANAGIOTIS KARAKALPAKIDIS
23-16 CRESCENT ST
ASTORIA,NY 11105
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD,
FENCED TO CODE AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 031
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
935 ROCKY POINT RD EAST MARION
Block 0001 Lot No. 005.003
15, 2008 and approved by the
22, 2009.
Fee $ 250.00
Au'~hori'zed 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
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
FIELD ]iNSPECTION REPORT DATE CO1VIiVIENTS
FO ~ ~W~DATION (1ST)
FO[~DATION (2ND)
ROUGH FtLSJMING &
PLIfNIBIN G
ENS ULA I'[ON PER N. Y.
STATE ENERGY CODE
FINAL
ADDITIONAL COM3/fENTS
J \ C~C~O-'.~ ~- i- c'~, '~ TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~ ~_~' VILLAGE DIST. SUB. LOT
~ ACR. REMARKS
TY~fi O~
FRONTAGE ON WATER ~ TILLABLE .~
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
31.-1-5.3 1/06
COLOR
TRIM
5 M. Bldg.
Extension
Extension
ensJon
Patio
Porch
Deck
Breezewa
Garage
Foundation
Basement
Ext. Walls
Fire Place
Dormer
Pool
Driveway
Bath
Floors
Interior Finish
Heat
Woodstove
Attic
Rooms 1st Floor
Rooms 2nd Floor
Dinette
Kit.
LR.
BR.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT -
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
w~v. northfork.net/Southold/
Examined ~'~, 20 0~'
Approved ~]~ 20 ~
Disapproved a/c
PERMITNO. _~aa~ ~/'~---
Expiration j 0 1~2001~'
½ Building Inspector
APPLICATION FOR BUILDING PERMIT
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the folio]ring, before applying?
Board of Health
4 sets of Building PlanEt · V"
Planning Board. approval
Survey
Check /' ,
Septic Form 4(~/
N.Y.S.D.E.C.__~L~c.~
Trustees
C, .~ltact: '
Mail to,/~_OL~ O,.__t~
Phone: ~3i ~2 7~-2
Date~_.J~ ~1
INSTRUCTIONS
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 accurdmg to schedule.
b. Plot plan showing location of lot and of buildings on premises, rcmdonsh~p to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application m,y not be corem.meed before issuance of Building Permit.
d. Upon approval of this application; the Building I~s?ector, il! issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for i~tspectlcn thro -.~mut :~:c work
e. No building shall be occu.eied or use4 i~: ,eaole ,or ;r part fo~ any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work aathon~ed has not commc ,ced with:a 12 months after the date of
issuance or has not been complet,.d within ! g months fron., ~ :~, date. if no zoning e. mendm., ate or other r:,julations affecting the
property have been enacted in the interim the Building Inspector v_ay authorize, ,~ wraing, the extension of ~he permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE ~o the Building Department for the issuance cfa 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, aadifions, or alterations or for removal or demoliuon as herein described. The
applicant agrees to comply with all applicable laws, ordi~.anc;;s, building code, housing cede, anct regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. ~/ / ,7
,U~O~ ,~g - {Sigr~ture of applicaht or frame, if a corporation)
MEET THE REQUIREMz~ ~ ,-~ C t q
CODES OF NEW YO~F, 8TAT ::. ~lmOImt! .WA.i~iml.
(Mail~g address of applicant)
d
lessee, age~:. :,rchS. ct, engineer, general contractor, e!ec~ci~, piumber or builder
If ~ant ~ a corpp/ation, si~.ature~(~{~¥o~r
(Name ~d 6tlc ofco~orate o~g lO UI~L~VVFUL
. i a rsUc n o. THOUT CERTIFICATE
Plumbers License No. ~/~ 0F 0COU~
Elec~ci~s License No. /~0~
Other Trade's License No.
Subdivision Filed~6. ' Lot
(N mc)
St&e,, ~-- whether ap~lJl[l~ owner,
APPRm/I::D .AS "OTED
Nmne of Diner o f premises ~ ~_ [~~.~ ~_ o~1 est dX[:~ (L7' 9~?~ff~
As on ihe tax cml _. at ~~ ~y: ...~' ~
765-180~ 8AM TO 4~M FO~ THE
FOLLOWING INSPECTIONS:
1. FOUNDATION. WFO ~EQUIRED
FO~ POURED CONCRETE
2. ~OUGH - FRAMING & PLUMBING
3. INSU~TION
4. FINAL. CONS~BUCTION MUST
BE COMPLETE FO~ C.O.
ALL CONSTRUCTION SHALL ME~ TNB
1. L~ation~f l~d ~w~ch oropos~ work will be done' _ REQUIREMENT8 OF THE CODES OF N~
' ' ' I Iq~/l YORK S~E NOT RESPONSIBLE FOR
Co tyX mp o.]OOO so,tic,
2. State existing use and occupancy of premises an~d intended u~e and occupancy of pro'posed construction:
a. Existing use and Occupancy ~t_~l C~/'/~j~,
t~
b. Intended use and occupant;c_ 30,.J~ 1~ _
3. Nature of work (check which applL:ab;v) New Buildi.'_g
Repair Removal__ __Demolition
4. Estimated Cost ~,10~0 -____.
5. If dwelling, number of dwelling units ..
If garage~ number of cars
Addition .Alteratio~
Other Work ~'['~-~r£[{ Iot~Ja3u r~d -i)OO ~
~J (DescrlPfion)
(To be paid on filing this application)
Number o.*'dwelling units on each floor
6. If business, commercial or mixed occupancy, specif5 ~ature and extent of eac~ type of use.
7. Dimensions of existing structures, if any: Front k//&. Rear '.: ~' .Depth
Number of Stories '
Heigh[ ~ / t ~
Dimensions of same structure with alteration; Or additions'. Front d/~,~, Rear
Depth__ ~ __Height / Numbe~ of Stories
8. Dimensions of entire ne~v construction: Front PO]tk . Rear Depth
Height [ Number of Stdrie~
9. Size of lot: Front b,~]5 Rear _Depth
10. Date of purchase t'J[~_ __ _Neme of Former Owner
I 1. Zone or use district in which premues ~- Atuated
12. Does proposed construction violate any zoning law, orctlnance or regulation? YES NO K
13. Will lot be re-graded? YES./~ NO Will%xCess fill be removed from premises? YES NON/('
14. Names of Owner of pre~i, ses~]~~AddressZ::01~ ~P~,od Igl~el Phone No.
Name of Architect M]~_ -. Address 'J ' Phone No
Name ofContractor~/hglJ~ca(I 4~$~ ItlC- Address~~l~Phone No.
15 a. Is this prop~y within 100 feet of a tidal wetl~d or a ~eshwater wetlan~ *YES NO ~
* IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this prope~y wi~in 300 feet ofa tidfl wetland? * YE~ _,
* IF YES, D.E.C. PE~ITS MAY BE REQUIRED. ~~1[,.
16. Provide s~ey, to scale, with accurate foundation, plan and dlst~, to piggly lines
17. If elevation at any point on property is at I0 feet or below, must provide topographical,4~ti~ On surv~gt
STATE OF N~W YORK) · ~: , .
k ~ SS:
COUNTY O~
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, CorpOrate Officer, etc
being duly sw,m deposes ~nd says that (~)hc is the applicant
~f said owner or owners, '~ d is duly aWhmized te peffo,m or have perq'vned the said ,~ )rk and to make and file this application;
. hat all statements contained in this application a:e true to the oest of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of ]
"1
Town of Southold
Erosioni~Sled~ntentation & Storm=Water Run-off ASSESSMENT FoR
~ * ~..,, pI~OFER?Y LOC,~tO,~i!~ .,~,C.T~ #; TNE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A
,..~'/~ ~¥:: ~ ~TORM-WATE~ G~DING, D~I~GE ~D EROSION CONTROL
/~, '~ ': o;d~flCt ~ '~Bl~k :, '~ CERTIFIED BY A D~IGN PROF~SION~ IH THE STATEOF ~ y~K.
Check Ma~ (~') f~ each Question i~ Required f~ a ~ete ~pli~Uon) Yes
Will this Project Retain All Stom,-Watar Run-Off G~nerated by a 'P~$o (2') Inch Rainfall on Site?
.(~hi~ item will include all run-off cr~,atk'd bY ;~ite clearing and/or construction ac~vifies as well as all Site
Improvements and the permanent cr~iT~n of impervious surfaces.)
Does the Site Plan and/or Survey ?,ow ~AILpro~...~ed Drainage Sth/ctums I~icaitng Size & Location?
Thi. item si~all include all Propesetl Gra~le Changes and Slopes Cootrolling Suifaca WatenClowl
v/ill this Project Require }any Laj~nd Filling, Grading or Excavation where there is a change to the Nah,ral
[- xi~.ting G,ade Involving '.~.o? than 200 Cubic Yards of Material within any Parcel?
~.'ill this Application Reqt~ire Land Disturbing Activities Encompassing an Area in Excess of
~-lve Thousand (5,000) Si:it!are Feet of Greund .qurface?
I-- there a Natural Water Course Running through the Site?
~s t~is Project within the ,T.~.s.~tees jurisdiction or within One Hundred (100') fe~t of a WeUand or Beach?
Will there be Site preparation on'Existing Grade Slopes which Exqeed I'iF,~n (15)feet of Vertical P, Jse to
One Hundred (100') of H~[.~n.~l Distance?
Will Driveways, Parking ~a$~or tAhe~ Irnpervious Surlace.~ ~e. Sloped to Direc~ Stom~Water Run-Off
into and/or in the directioh. _o[ a.?own right-of-way?
Will thfs Project Require the placement of Material, Remo~,al of Vegetation and/or the Coustruction of
any Item Within the Town I~ight-of-Way or Road Shoulder
(This Item will NOT Include the Installaflop of Driveway Aprons.)
;fill this Project Require Site Preparation within the One Hundred (100)Year Floodplain o~ any Watercourse?
NOTE: If Any Answer to Questions One through Nine is Answered with a Ch~.,ck Mark In the Box, a Storm-Water, Grading:
Drath; ge & Erosion Control Plan is Required and Must be SubreRte~l for Revl~# Prior to I:;suanca of Any Building Permitl
EXEMPTION: , . Yet ~ _,~:~
Does this project meet the minimum standards for classification as an Agfioultuml Pm~ect?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl __ __
STATE OF NEW YORK, r'~
~t ~1.~..~...~.~ ...................... ~g duly sworn, de~s ~d ~ ~t hWshe is We appoint for P~q
~d ~at he/she is ~e ...~.~.~X~%..~. ...............................................................................................................................
O~er an~or representative of ~e Owner of O~er's, ~d is d~y a~_ ~__ ~ - . ..... _ . ~ - ~,,' ~e s~d work ~d to
m~e ~d file ~s app~cafion; ~at ~1 smtemen~ con~ed in ~s a~ ~ ~le~ ~d belief; ~d
· at ~e work ~ be performed in ~e m~n= set fo~ in ~e appli~~
Sworn to before me ~is;
No~ Pu ..................... / ........
D' 6' 8' El' '4'
eRSCP
8' 8' 6'
~RSCP
B6' STEP
4'
2RSr'p
4'
B~LL OF MAI'ERIAL~
GTy DrSCR~PTEON
4 4' STRAIGHT P~I~LS
10 8' STRRI~HT PAI~L$
4 ~' RADIUS CI~NER PANEL~ ~.RSCP)
1 6' FU~RGLAS$ STEP · ~
INTERPBnL
20'X40' RECTANGLE VITH
CORNERS AND 8' STEP
DA TB 1~./113/03 J NQN£
i.~.A riR~..F',s DI~O4 ~.,~
F]NI-~HED
HANDATORY ROPE Ad;ID
FLOAT t2. INCHES FROIq
S L[lO/ CHANGE
P~EL
~-_ r.. HEIGHT
VE~HICULIT£
SVINHIN6 POOLS ARE DANCd[RDUS VHE~I USED ~Y.
IOr TG~N BFFICIALS, BUILDERS AND HOH60~NE~ TB
IALL S~ETY R~C~NDA~ DF AS.P.I., ~LL L~
I~91N~ES AN~ [QUIP~E~ H~UF~CTURERS.
AREA. 796,5 SO. ?%
PERI~IETER, !t$'-7"
VBLUNEI 30,400 GALS.
1) ~S IS A t~ I1 P~. ~ ~ ~ ~ P~L
~ ~C ~ ~A~ VIC ~ M~
4) ~ ~V~' ~S ~T ~ INST~
INTERPBBL
~40' ~T~' VITH
~' RADI~ C~NERS AND 8' STEP
DATE, 1~/Q3/03
RAVN BY: IP ACA~EF&SAR~O~
LOT NUMBERS REFER TO "MAP OF EAST
MARION WOODS" FILED IN THE SUFFOLK
COUNTY CLERK'S OFFICE ON JUNE 7, 1989
AS FILE NO. 8759.
CERTIFIED TO:
PANAGIOTIS KARAKALPAKIDIS
SCDHS Ret.# R10-05-0125
I om fomi/ior with the STANDARDS FOR APPROVAL ~
AND CONSTRUCT/ON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FO/? SINGLE FAMILY RESIDENCES
ond wi// ob/de by the conditions set forth therein ond on the
permit to construct.
The IoceUon of we/Is ond cesspools shown hereon ore
from field observotions end or from doto obto/ned from others.
ANY ALTERATION OR AODIIION TO THIS SURVEY IS A ~OLA170N
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAVE
EXCEPT AS PER SECTION 7209-SUBDIViSiON 2. ALL CERTIFICATIONS
HEREON ARE VALID FOB THIS MAP AND COPIES THEREOF ONLY IF
SAIl) MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNATURE APPEARS HEREON.
AREA=47, J15 SQ. FT.
.OPEN ~;NATCE"
VACA~
22 WAng
r.~Y LOT puoL'C
/¢'~/' D.C/E:LLiNG wITH
°~LL
SURVEY OF PROPERTY
AT EAST MARION
TO~FN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-31-01-5.3
SCALE: 1'--50'
JUL Y 29, 200.3
NO V. 27, 2006
(631) 765-~ , ~ )~ ~-179
P.o. BOX 90~
123o TRA VELE~,~
SOUTHOLD, N. Y.