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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.