HomeMy WebLinkAbout33437-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~/~TMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33526
Date: 02/06/09
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1320 KENNYS RD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 3 ~t 17.2
Subdivision
Filed Map No. __ Lot No. __
SOUTHOLD
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 20, 2007 pursuant to which
Building Pe~Tait No. 33437-Z dated OCTOBER 2, 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 SWIS~4ING POOL WITH FENCE TO CODE AS APPLIED FOR.
~ne certificate is issued to KEITH & MARY VON EIFF
(OWNER)
of the aforesaid building.
SUFFOLK COD1T~Y DEPARTMENT OF H~ALTH APPROVAL N/A
EI~t-rKICAL CERTIFICATE NO. 3051061 02/06/08
PLUMBERS CERTIFICATION D~r~u3 N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPAb
This application must be filled in by typewriter or ink and submitted to the Building De
A. For new building or new use:
1.
FEB 7 2000
artment wi~.~ng:
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 (8-9 form).
3. Approval of electrical installation from Board of Fire Underwritem.
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,
Swimming 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: ] ~ 2 0
House No.
Owner or Owners of Property:
Old or Pre-existing Building:
Street
Suffolk County Tax Map No 1000, Section /000 - 0 ~"~
Subdivision
Permit No. ~ ~ ~ ~ 7 ~-. Date ofPennit, o~/~p ~
Date. gl6v[O~.
(check one)
Hamlet
Block 0.5 Lot 017..
Filed Map. Lot:
Applicant: i PA [/0 n £E
Health Dept. Approval:
Planning Board Approval:
Request for: Tempora~ Certificate
Fee Submitted: $ 25-' O0
Underwriters Approval:
Final Certificate: ~//
(check one)
.
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. 33437 Z
Date OCTOBER 2, 2007
Permission is hereby granted to:
for :
K & M VONEIFF
1320 KENNEYS RD
SOUTHOLD,NY 11971
CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR
at pre~nises located at 1320 KENNYS RD SOUTHOLD
County Tax Map NO. 473889 Section 059 Block 0003 Lot No. 017.002
pursuant to application dated SEPTEMBER 20, 2007 and approved by the
Building Inspector to expire on APRIL 2, 2009.
Fee $ 250.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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
PLATINUM EAST ELECTRIC KEITH & MARY VONEIFF
1320 KENNEY'S RD 1320 KENNEYS RD.
SOUTHOLD, NY 11971, SOUTHOLD, NY 11971
Located at 1320 KENNEYS RD. SOUTHOLD, NY 11971
Application Number: 3051061 Certificate Number: 3051061
Section: Block: Lot; Building Permit: BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
pool A pool shed, 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 6th Day of February, 2008.
Name QTY Rate Ratin~ Circuit Type
Miscellaneous
pool & pool shed
Appliances and Accessories
Pool/Spa Bonding I 0
Pool Heater 1 0 Gas
Panels
1 80 8
Wiring and Devices
Outlet 5 0 Fixture
Fixture 2 0 Incandescent
Fixture I 0 Flourescent
Fixture 20 Pool/Spa
Outlet 14 0 General Purpose
Receptacle 9 0 General Purpose
Switch 3 0 General Purpose
GFCI Circuit Breaker 1 0 20a Pool/Spa
Receptacle 2 0 20a Pool/Spa seal
Receptacle 2 0 GFCI
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence a
of
raised
seal
at
the
location
indicated.
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
PLATINUM EAST ELECTRIC
1320 KENNEY'S RD
SOUTHOLD, NY 11971,
KEITH & MARY VONEIFF
1320 KENNEYS RD.
SOUTHOLD, NY 11971
Located at
Application Number:
Section: Block:
Described as a
1320 KENNEYS RD. SOUTHOLD, NY 11971
3051061
Lot:
Certificate Number: 3051061
Building Permit: BDC: ns11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
pool & pool shed, 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 6th Day of FebruarT, 2008.
Name QTY Rate Rating Circuit Type
(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.
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
DATE
INSPECTOR
FOUNDATION (1ST)
FO~DA~ON (2ND) ~
ROUGH F~G &
PL~G
LNS~ATION PER N.Y. ~-
STATE ENERGY CODE
~DITION~ COUNTS ~
TOWN OF SOUTHOLD
BUILDING DEPAR~TMENT
TOWN HALL .
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined [~()' , 20 0 ~
Approved I P I ~ 20 0 1
Disapproved a/c
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Tmstees
Contact:
Mail to: ~tO;,'n
Phone: -/qq- ~ lo O
Building Inspector
kPPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20o _
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 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.
"IMMEDIATELY"
ENCLOSE POOL, TO CODE
UPON COMPLETION
BEFORE "WATER'
UNDERWRITERS CERTIFIC~IE
RE(IIIItB
gnature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises }'~¢14h ~OtX~',q~42 ~A'[' /°/>fZ B,e.,' ~ Dq~7~
(As on the tax roi1 or Iat%[s~eed)
Ifapplicm~t is a co.oration, si~ature ~~~ NOTIFY BUILPt~' ' "," :-% TN* AT
~ame ~d title of corporate o I~ UI~VF FOL, ~ ,oi ,
WITHOUT CERTIFICATE '-' ' '
O OCCUPANCY .....
Other Trade s ~Jcc~s~ No. 4. Fl~;,i. - ,7c. ,~UST
ALLGON~IHULAt~N .5~A,LL BE ,,,:~, ._,' ,,.
ALLCuN~ b. JL MEET THE
1. Location of l~d on which prgposed ~[g~E-N'~[u7¢ OF THE RE~IRE~[[~[30~ THE CODES GF NEW
I~0 ~ n ~ H'~ODES~YOi~K ~TATE. Y~~ BESPONSIBLE FOR
House Number Street Ha~GN OR CONSTRUCTION ERRORS.
com a U p o. 000 05fl mo k: &
Subdivision ~a~ ~c ~ i os ~a oa~o~lo~iled Map No. Lot ~
(Name) '
b. Intended use and o¢cupancy ~-~'qS~4r~nilc~ ~4e~Cl kO,q4q
3. Nature of work (check which applicable): New Building_ Addition
Repair. Removal Demolition Other Work
2. State existing use and occupancy of premises and inten~d use and occupancy of proposed construction:
a. Existing use and occupancy ,~t~'~m;)~.,/ {~.<Jxd~['~(-~ , ,
Alteration
(Des~ption)
4. Estimated Cost ~,~ ~ Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If 9ara~o, number of oars
6. if business, commercial or mixed occupancy, speci~ nature ~d extent of each t~e of use.
7. Dimensions of existing structures, if ~y: Front Rear Depth
Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear .Depth
9. Size of lot: Front Rear _Depth
Rear
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 ,//' NO Will excess fill be removed from premises. YES NO
14. Names of Owner of premises I'~e ~r~ki0tlt; JzYc
Name of Architect Lt. zo3 ~hn ~ c~
Name of Contract6~q T ~ltclr_~
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 B~,EQUIRED.
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, m rgvide topographica~
,-.,v.';,,z; ~ L' '*.? 7.33 k -~'
STATE OF NEW YORK)
SS:
cOUNTY OF
/ 0m [q T )rxt, e cF.a,/ b~ing duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Off~,cer, ~tc.)
of said owner or owners, and is duly authorized t~ pTetfpnu or have performed the said work and to make and file this application;
that all statements contained in this application a~r~ tm~ t'o the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed the~e~i~'i.J,~ .
.. ;.x,~ '::: .;': Signature of Applicant
05-38-880? 89:56 SOUTHOLD BUILDING DEPT 1631?GS9508 PAGE1
Plan ASSESSMENT FORM
Yes No
E~M~IONS:
A. ~a ~ ~oj~ m~t th~ minimum ~dard~ for claasifieati~ aa an A~cultorM l~ojoct.
N~e: If you an~" to any~of the above, a ~orm-wMer, Gmdlng, D~inage & Erosion Control ~an I~ n~ redulr~.
ACTIONS REOU~NG THE SUBMISSION OF ~ S,,TORM.WATER. GI~DING. DRAINAGE ,.&,~RO$ION
CONTROL PLAN (~ERTIFI ~'D BY'A DESIGN PROFESSIONAL IN THE STATE. Ql~ NEW
Item Number: (A Cheek Mark (,t):for each question is required for complete application) Y~s N_.~o
1. Will this project retain all Storm-Water Run-off generated on Site'?
(This will include, all nm-off created by site clearing and/or construction activities as well aa ail
Site Improvements and the pen'nanent ere. at/on of impervious surfhces.)
Will this project require any land filling, grading et excavation where there is a ohango to thc,/"
natural existing grade involving more than 200 cubic yards of material within any parcel?
4
Will this application nalui~ land disturbing activities eneompa.~sing an area
of five thousand (5,000) square f~et of ground sudace or more'?
la there a Natural Water course running through the site or is this project within
One htmdred [100) fcct of w~:tlands ox a beach7
Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to
O~e hundred (100) £eet o£ horir~.~ata[ d½stanee?
Will drivcway~, parking areas ox other impervious surfaces direct Storm-Watox Run-off
into and/or in the direction of a Town Right-of-Way?
Will this application require the placement of material, removal of vegetation and/or the
.construction of any item with/n the Town R/ght-of-Way or rom shouldt~ area?
(This item does not include the installation of driveway aprons.)
8. Will there be sit~ prcpan~tiofi within the one hundred (100) year floodplain of any watercourse'?
Note: If, any'an ~_ eric questlon~'~ne through e ght $ answered with a check mark n the Box, a ~torm.water, Grad ng,
E~mihage~ E~%i~n ¢ontrorPlan is r~qulred and must be submitted for review prior to lesuance of any building permit.
~..'OI~'N P.W YORK.
co m-rv ...............................................
(Namc of indWid~al signing Document)
~a~l~that l{o/$h~ ia thc
iOwacr and/or rcprescntative of the Owner or Owner's, a~d Js duly authorized to perform or have pcrformcd thc said work and to make
and file tills application; that all stalements contained in this application arc true to thc best of his knowledge and belier; and that the
work sill be performed in thc mariner act tbrth in thc application filcd herewith.
Swam t6 before mo tiffs;
........................................ ..............
KATHLEEN OUIGLEY
NOTARY..I~J~_ ~, ~1~_ ~lale-~ New
S 4 J'57'$O'E
75.00'
LOT 3
VACANT LAND
N 41'57'50"W%,~1~
KENNY'S OAD
GUARAN TEES INDICA TED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
UNAUTHOR/ZED AL TERA TION OR ADDITION TO THIS
SURVEY IS A VIOL~ TION OF $[CTION 7209 OF
THE NE W YORK $ TA TE EDUCA TIOAI LA ~
COPIES OF THIS SURVEY MAP NOT BEARING
THE ~AND SURVEYORS EMBOSSED SEAL SHALL
NOT ~E CONSIDERED TO BE A VALID T~UE
COPY
SURVEY OF
LOT 2
MAP OF SUBDIVISION
MADE FOR
ARGIRIOS PAPADOPOULOS
SITUATE
SOUTHOLD, TOWN OF' SOUTHOLD
SUFFOLK OOUNTY, N.Y'.
SURVEYED FOR: KEITH VonEIFF
MARY VonEIFF
SURVEYED: 3 blAY 2005
SCALE 1"- 50'
AREA = 80,000 S F
OR
1836 ACRES
?M# 8612
D~TE FILED SEP ~5 ~988
TM# 1000-059 03 0i7 2
JL.~qYTEED TO
COHk!ONWEALTH ~,~,ND TITLE /NS CO
~ND¥ k,IAC B~NK
SURVEYED BY
STANLEY d ISAkS£N dR
PO. BOX 294
NEW SUbFOL/( N ~ / Ig56
NYS Lic No 4927~ 05R1404
I (:~3~)...-..~,c-'~' .~,,,~ - I "7'..~J 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ./_"~ ~? O VILLAGE DIST. SUB. LOT
REMARKS
~. ~ PROP. CLASS ~,/
LAND IMP. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT IL~
TOTAL
59.-3-17.2 4/07
COLOR
TRIM
' ~ ~ 170¢ ~ Q ~q4 Foundation ~ Bath ¢ Dinette
M.
~ ~ ~0 ~L Floors Kit.
Extension
~ ~.~ Basement SLAB
r
J
Extension ~ g ~ ~ ~ ~0 2 ~ Ext. Walls ~ Int°d°r Finish L~.
fixtonsion lire ~laco ~ ~ Hoat ~.~.
~atio Woodstovo
~¢'~ ~ X ~= ~0~ ,~0 ~ ~ormer Fin. B.
~orch
~ ~ ~ ~ ¢-~Q ~ l.n Attic
Deck , ~: ~ ~
~::::'.;':y ~ ~ Rooms 1st Floor
[
Garage 2~ ~ 2 ~ ;~ >~ /,~ 7~ Driveway Rooms 2nd Floor
Pool
POURED CONC. WALLS
48' 3"
PLAN
34 x 48 MOUNTAIN LAKE
2" to 4" SAND BOTTOM
POURED CONCRETE
WALLS AND STEPS
SECTION A
SCALE: 1/8" = 1'-0"
TOP OF WALL ~. . WATER UNE ~
· 5' 10' 5' ~ ~-
SECTION B
SCALE: 1/8" = 1'~"
PLUMBING SCHEMATIC
'~ ~ GRADE
WATER LINE ~ ~ :, ~
ROLLED FOAM BETWEEN ~ ,~ I '~
LINER AND CONCRETE I Z%%,
WALL SECTION
NOTES
1. STRUCTURE IS DESIGNED FOR USE BELOW GRADE AND ONLY IN AREAS WHERE THE
GROUND WATER TABLE IS A M~NIMUM OF 4'-8" BELOW THE PROPOSED FINISHED GRADE.
2. BACKFILL WlfH CLEAN EARTH, FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HBGHT OF THE WATER IN THE POOL BY MORE THAN 8".
OR THE WATER TO EXCEED BACKFILL BY MORE THAN 8".
3. PLACE CONCRETE ON SANDY TO LOAM SOIL. BEMOVE ANY CLAY DEPOSIT
AND COMPACT CLEAN BACKFILL.
4. WALKS TO BE SMOOTH, NON SKiD TYPE, SLOPED AWAY FROM POOL
5. WATER D~SPOSAL SHALL BE LIMITED TO OWNERS PROPERTY TO SUIT LOCAL REGULA'I'IONS
6. NO DIVING BOARD.
7. PROPERTY OWNER iS RESPONSIBLE TO INSTALL FENCE AROUND POOL
IN ACCORDANCE WITH THE NYS BUILDING CODE, APPENDIX G, SECTION AG105.
5-5-07