HomeMy WebLinkAbout32807-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33445 Date: 12/17/08
THIS u~TIFIES that the building ACCESSORY
Location of Property: 270 COUNTRY CLUB DR
(HOUSE NO.)
County Tax Map NO. 473889 Section 109
Subdivision
CUTCHOGUE
(STREET) (HAMLET)
Block 3 Lot 2.7
Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 15, 2007 pursuant to which
Building Permit No. 32807-Z dated MARCH 15, 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 THOMAS G & TRACY NOLAN
(OWNER)
of the aforesaid building.
SI~FFOLK COU~FI~f DEPANT~ENT OF }~ALTH APPRO~ N/A
ELRt-rKICAL C~K'rIFICATH NO. 3343 11/21/02
UL~ERS CERTIFICATION DA'r~u N/A
/~~A hori~~
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! .......
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.
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.
Co
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
Certificate of Occupancy on Pre-existing Building - $100.00
Copy of Certificate of Occupancy - $.25
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Old or Pre-existing Building:
3.
4.
5.
New Construction:
Location of Property: ,;~_"/~ (?/~/A~"'~
House No. Street
Owner or Owners ofProperty: /~/r/4lq-~,.) ¢/
Suffolk County Tax Map No 1000, Section ~ (D ~
Subdivision
Block
Filed Map.
Date of Permit. ~-I '~' ~'~ Applicant:
Underwriters Approval:
(check one)
Permit No. ~,<~ ID"~
Health Dept. Approval:
Planning Board Approval:
Hamlet
Lot:
Request for: Temporary Certificate
Fee Submitted: $
Final Certificate: (check one)
A(dplicant Signature
Nassau 'Suffolk Electrical Inspections, Inc.
5A Canal Street * Center Moriches, New York 11934 * Tel: 631-878-3500 * Fax: 631-878-3764
Application No: 3343 Date:l 1/21/02
Issued to: Nolen
Address:.270 Country Club Dr
Village: Cutchogue Zip: 11935
Introduced By: Avey Electric East License#: 5120-E
was examined and found to be in compliance with the National Electrical Code
Switches Reoeptaoles Fixtures G.F.I. Miomwave Whirlpool
1 2 I 2
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide
Smoke Bell
Furnace Oil Gas Circulators Detectors Transformers
nground Pool Meter Amps Phase Motors
t-11/2
3ther Equipment: 1-Pool Panel,1-20A Timeclock
Out,Res
This certificate must not be altered
in any manner
Permit~:28825-Z
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. 32807 Z
Date MARCH 15, 2007
Permission is hereby granted to:
THOMAS G & TP~ACY NOLAN
PO BOX 165
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF A/~ INGROUND SWIMMING POOL AS APPLIED FOR. THIS
PERMIT REPLACES BP 28825.
at premises located at 270 COUNTRY CLUB DR CUTCHOGUE
County Tax Map No. 473889 Section 109 Block 0003 Lot No. 002.007
pursuant to application dated MARCH 15, 2007 and approved by the
Building Inspector to ex/Dire on SEPTEMBER 15, 2008.
Fee $ 150.00
Authorized Signature
~ev. 5/8/02
ORIGINAL
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. ~R~825 Z Date OCTOBER 11, 2002
Permission is hereby granted to:
THOMAS G & TR3tCY NOLAN
PO BOX 165
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF ~ IN-GROUND SWIMMING POOL AS APPLIED FOR
at premises located at
270 COUNTRY CLUB DR
County Tax Map No. 473889 Section 109
pursuant to application dated OCTOBER
Building Inspector to expire on APRIL
Fee $ 150.00
Block
10, 2002
11, 2004 .
CUTCHOGUE
0003 Lot No. 002.007
and approved by the
Auth~Z ~ Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
~'~ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ] FRAMING / STRAPPING [~)(~FINAL /~:
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: P~ ~ ~ ~
, ,- ... /,) ._ --... ~._ '""'~ ,~ .,,~. _ ~
DATE _.E-- ~ - ~ 7
INSPECTOR '/~"-'~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTMIT CONSTRUCTION
[ ] ROUGH PLBG.
[ ]~JLATION
[/,"]'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE
INSPECTOR~j~/.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~FINAL
[ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANI' PENETRATION
REMA ~
INSPECTOR
DATE
FOUNDATION
(1ST)
FOUNDATION (2ND)
ROUGH FRAMInG-
PLUMBING
INSULATION PER N. Y.
STATE ENERG~r CODE
~mo~ CO~TS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.neffSouthold/
Examined ,20
Approved
Disapproved
/
Expiration /~¢ ,20 Z.---
/
3:z -o /
PERMIT
BUILDiNG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Building Inspector
Mail to:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20
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 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 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.
(Signature of applicant or name, if a corporation)
· --Po
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises :~'O,A4 .* ;:"~,,~y
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. /~,/L, 7 -/4-.z'
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section /~9 ? Block
Subdivision .~.acr, t~r~.~,a ~5~'~-5 FX~,,,z.,~c.} Filed Map l~o.
(Name)
Lot -'~- 7
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 ,o,~z~
Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5.
If dwelling, number of dwelling units
If garage, number of cars
Fee
Alteration_
(Description) '
(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 .5"~
Height .~5'z Number of Stories
Rear ~ ~t Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height. Number of Stories
Rear
8. Dimensions of entire new construction: Front Rear _Depth
Height Number of Stories
9. Size of lot: Front /f_.,/. :~O ' Rear ,,//_,/. 5/~ ' Depth .~°5-~' /
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? YES__ NO ~
13. Will lot be re-graded? YES t~' NO__Will excess fill be removed from premises? YES__ NO ~'
14. Names of Owner of premises -~,'~
Name of Architect
Name of Contractor~,,w:,z,~' .-~x~5
Address ~ ~,,of~,~ e~,-~ ~, Phone No.
Address e°"e~'~*'"- Phone No
Address'~o ~t:~9 ~ PhoneNo. 3:5'~-3~&&5
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 MAY BE 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)
COUNTY O~'~[ ~.~
.~.s_,..~_~ ~/-~,-J4--4(/ being duly sworn, deposes and says that (s)he is the applicant
(Name~6f individual signing contract) above named,
(S)He is the
(Contractor, 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 to ~p~fore me this ~ ~
~IRE L O~
~aW Public, S~te ~ N~ York
No. 01GL~79~5
~mmiss~on E~i;es Dec. 8, ~ ~
Signature of Applicant
TOWN OF SOUTHOLD PROPERTY ~ORD CARD ,,'~--/z:
OWNER STREET 'Z,70 VILLAGE DIST. SUB. LOT
~ ~.,~.,~ ,~,/~, s
~ ~ W ~PE OF BUILDING
~ND IMP. ~ ~ ~ AL D~TE R~RKS
illable FRONTAGE ON WATER
~lond FRONTAGE ON ROAD
~eadow~nd DE~H
ou~ Plot BULKH~D
)tel
COLOR
TRIM
M. Bldg~
Extension
Porch
Breezeway
Garage
Patio
Total
Foundation
Basement
Ext. Walls
Fire Place
'Type Roof
Recreation Room
Both
Floors
interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
K.
LR.
DR.
BP,.
FIN. B
SURVEY OF
LOT 28
MAP OF COUNTY RUB ES~S
CU TCHOGUE,
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. X
LOT 27
~o
LOT 29
VACANT
SURVEYED FOR THOMAS O. NOLAN
TRACY C. NOLAN
RESIDENCE
TANK
79' 55' 10" W
161.40'
ro
TIE-- 169.27'
COUN TRY
CLUB
DR/VE
ZONE R40
TM I000-109-0.7-02.7
FM ,~1 6736
HLED: OCT. 17, 1978
SURV~O O~
SCA~E
0.948 ACRES
GUARANTEED TO
TOM G. NOLAN
TRAC¥ C. NOLAN
PINNiCAL FINANCIAL
A DIVISION OF
PA1RIOT NATIONAL SANK
NO
1. 04 JUNE, 2001 LOCATE POURED CONCRETE FOUNDATION.
2. 06 JUNE, 2002 FINAL SURVEY. 26JUNEO2 SHOV¢ H,'ELL LOC. AnON.
SURVEYED BY
~TANLEY J, ISAKSEN, JR.
.0. BOX 294
01C1016
8 8' IJ 8'
14:
S-I¢: IO,~Q~GI,IOI-I ~- Gl,103-~Otl~l
NSPI TYPE III
TOPAZ STERLING STOI~TITE
103-605l 103.205! (03 :lOS)
NON DIYTHG LINIR$
fl4 (03-~3) I-8 (03.Z43) ~ 14 (03-343)
'"' M~Y I''~ 20' X 40'
1995 RECTANGL~ 6' RADIUS
UNDER'¢IRITERS CERTIfiCATE
REQUIRED
APPROV~:~ ? S
BY:
NOTI~ BUILDINQ D~
~a~1802 O A~ TO 4 PU FOR ~
~ INSPECTIONS:
FOUNDATION - TWO R~QUIRE~
~R POURED CONCR~
ROUGH - FRAMING & PLU~BIN~
INSU~TION
FINAL - CONSTRUCTION MUST
~~RC.O.
~ CONSTRUCTIOH SHALL MEET
~E REGUIREMENTS OF THE
~TA~ CON8TRUCTION & ENERGY
CODE~. NOT RESPONSIBLE FOR
~ ~ ~G~U~tON ~RORS
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT, CERTIFICATE
OF OCCUPANCY
IN-GROb'ND SWIMMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A
VINYL LI~ER THAT WILL HOLD APPROXIMATLY 35,000 GALLONS OF WATER.
FENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HIGH 'WITH SELF CLOSING GATES TttAT
'WILL M£ET TOWN CODES.