HomeMy WebLinkAbout32932-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
No: Z-33673 I~te: 04/27/09
THIS CERTIFIES t~at the building ACCESSORY
Location of Property: 800 PkAITY LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 109 Block 5 Lot 27.1
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 19, 2007 pursuant to which
Building Pexl~it NO. 32932-Z dated APRIL 23, 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 SWI~4ING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to CHRISTOPHER & BARBARA TALBOT
(OWNER)
of the aforesaid building.
SUF~DLKCOI~FI~f DEP~_R/I~ENT OF ~J~THAPpROVAL N/A
ELEt-£KIC3~L C~RTIFICJ%TH NO. 4025567 03/27/09
~ER~ u~TIFICATION DATED N/A
Rev. 1/81
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~ater supply and seweragc-dispesal (S-9 form).
3. Approval o f electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used ia system contains less than 2/10 of I% lead.
5. Commercial building, industrial building, multiple residences end 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. Accumtesurvey~fpr~pertysh~w~nga~pr~pertyYm~treets~bui~dingandunusual~natum~rt~p~graphi~
features.
2. A properly completed applieation 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 dwelllng $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildihg $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
Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/
Hew Constmction:~/ rc, Old or Pre-existing Building:
Location of Property: C-~(y') ~7-0~' lb ( (~[~ .~_
House No. Street
Owner or Owners of Property: _"~ (' [c3(~ ~-(~ C,[.(~
Suffolk County Tax Map No 1000, Section I 0 q
Subdivision
Permit No. '~ ~-~-q 3c~ ~Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ c':'~- --'~f~.~ Q~?'~' t ~
Date.
(check one)
Filod Map.
Applicant:
Underwriters Approval:
Hamlet
Lot (")c~'~ O0 \
Lot:
Final Certificate:
~check one)
.~cant Signature
/~,- S - 2-~,
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
Located at
TUCKER ELECTRIC
1800 HARBOR LN, BOX 1065
CUTCHOGUE, NY 11935,
800 PRAITY LN CUTCHOGUE, NY 11935
BARBARA & CHRIS TALBOT
800 PRAITY LN
CUTCHOGUE, NY 11935
Application Number: 4025667
Certificate Number: 4025567
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 the2'/th Day of March, 2009.
Name QTY Rathe
Appliances and Accessories
Pool / Spa Bonding 1 0
Pool Heater 1 0
Panels
Rating Circuits Type
1 100 7
Wiring And Devices
Fixture 2 0 pool
Receptacle 1 0 pool
Receptacle 4 0 20a-pool
Switch 4 0 pool
Gas
Incandescent
GFCI
Special / twist lock
Gen, Purpose
(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 1
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. 32932 Z Date APRIL 23, 2007
Permission is hereby granted to:
CHRISTOPHER TALBOT
PO BOX 1142
CUTCHOGUE,NY 11935
for :
DEMO EXISTING & CONSTRUCT NEW INGROUND SWIMMING POOL IN THE
REQUIRED REAR YARD,FENCED TO CODE AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 109
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
800 PP~AITY LJ~ CUTCHOGUE
Block 0005 Lot No. 027.001
19, 2007 and approved by the
23, 2008.
Fee $ 332.80
/~ri~nature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
~FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION [
REMARKS:
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 RESISTANT PENETRATION
REMARKS: /~J~- ~ ~ ~
f
INSPECTOR~
DATE ~---/~--~
FiELD INSPECTION REPORT
FOUNDATION(1ST)
FOUNDATION (2ND)
ROUGH F~G & -
PL~G
_._
~S~ATION PER N. Y.
STATE ENERGY CODE
~DITION~ CO~ENTS
TOWN OF.SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold~
Examined ¢/g~ , 20 O 7
Approved z//23 , 20 ~ ?
Disapproved a/c
Expiration /o/.~, 20 o'~Y
PERMIT NO.
· Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Surve~
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
[7._ i ,20
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. /~Ill~
(Signature of applicant or name, if a corporation)
(Mailing address o?apphcan;) '
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises C¢l[lS-rt~hte~,. ~0 ~_~t.A
(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. ~
Plumbers License No. ~
Electricians License No. ~
Other Trade's License No. 52--~) - i4 '~
Location oflandon which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
(Name)
Block ~'
Filed Map No.
Lot
Lot
2. State existing use and occupancy of premix_es and intended use and occupancy ot~proposed construction:
a. Existing use and occupancy ~*_5,~4-~_~ ~ ~t~ y~,~,.,~.-f
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_ ~' Addition ~ Alteration --
Repair -- Removal
Estimated Cost '~°e°'''~- ~o,
If dwelling, number of dwelling units
If garage, number of cars
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor --
.
If business, comp~ercial opxmixedoccuvancy, ~ffecify n.ature.and extent of each type ofuse~
· Dimensions of existing structures, tfany: Front" - Rear '" Deptt5
Height -' Number of Stories
Dimensions of same structure with alterations or additions: Front -- Rear
Depth -- Height. ~ Number of Stories, ~
8. Dimensions of entire new construction: Front ~- Rear ~ Depth
Height ,-' Number of Stories
9. Size of lot: Front 2IL, arq Rear 9-47.., °eq Depth ZI2~5 ·
10. Date of Purchase Io/oz 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 premisesettlt/.s * t~thtSta TAt.~Address f~o -}¥~,~t.,,. doid~q~Phone No.
Name of Architect Address Phone No
NameofContractorAt-e~mO {~5o~,~ + Address [[Si. ,leatt/xt~q-~:g. PhoneNo.
/
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)
SS:
COUNTY o %ffVtx4co
~ tte..t ~;~-e~ Il- F-a. I ~,- t~'~ being 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 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 tree 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.
Swom,tobefore me this .ti
iq/t/, day of ~Uf)l"l
No at0~ublic
Signatu~'e of Applicant
MELANIE DOR0$KI
NOTARY PUBLIC, State of New
No. 01 D04634870
OualifiedinSuffolkC0unty ~ ,,_.
0erami*a0n Ex,oires September 30,
PHILIP C, PANDE]LFI
610 VETERANS MEMORIAL HIGHWAY
A R ~ H I T E ~ T
HAUPPAUGE, N.Y. 11788 (631)543-1300 FAX(631)543-1349
Town of Southold
Mr. Michael Verity
Building Dept. Head
Town Hall
53095 Main Road, Box 1179
Southold, NY 11971
Re:
April 12, 2007
Proposed Gunite Swimming Pool
Chris & Barbara Talbot
800 Praity Lane
Cutchogue, NY 11935
Dear Mr. Verity;
This is to certify that the designed construction of a swimming pool on the
above referenced premises will not require special drainage facilities.
The swimming pool will be constructed of pneumatically applied steel
reinforced gunite and the pool water is designed to be continuously
recirculated through the filter and reused from year to year. The drainage
from the filter backwash cycle is nominal and therefore will not interfere
with the public water supply, the existing sanitary facilities, neighboring
property and/or public highway. Any make up water required will be drawn from
a hose bibb which shall have a vacuum breaker.
Very truly yours
Philip C. Pandolfi
This certifies that the
bearer is duty licensed
by the County of Suffolk
SUFFOLK COUNTY EXECUTIVE'S
OFFICE OF CONSUMER AFFAIRS
HOME IMPROVEMENT
CONTRACTOR
LICENSE
PHILIP ARClLESI
ALCAMO SUPPLY & CONTRACTOR CORP
5280-H 07/01/1979
~'~*~ ~*~ 07/01/2008
TOWN OF $OUTHOLD PROPERTY I~CORD CARD
OWNER
F~0RMER OWNER
VILLAGE
RES.2~_O s~s.
VL.
FARM
CO'MM. CB. MICS. Mkt.
J DIST. SUB. LOT
TYPE OF BUILDING
~alue
LAND
IMP.
~'20o
TOTAL
??oo
~,~oo ./
DATE
Tillable FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowlond DEPTH
House Plot BULKHEAD
Tota I i
//~-~-
COLOR R ~ ~~ TRIM
Extension
Extension
Porch / "~ '
Porch
BreezeWay
Garage
Total
/7'7/
Ext. Walls
Fire Place
Type Roof
~. Dinette
Floors 0~/~' K.
qnterior Finish
Rooms ]st Floor
Recreation Room Rooms 2nd Floor
Dormer Driveway
I
?
LR.
DR.
BR.
FIN. B
TI T£E NO. T-1~SG-55G5
Frank
or
now or formerly
Stonley d Porkin, Richord
Ionk ~ Another
formerly /h~'
B. Rogers _1" '
ROAD N. YS. Rte 25
! /,no~. or ~'°rrner~v
tot 5
noa~ or ~°rrner/j. tP°6~r! ~
NOTE:
· = MONUMENT
DIST. I000 S£CT. 109 ~£OCK OS LOT 05Z001
THIS SURVEY NOT TO
BE USED FOR TITLE
PURPOSES
UNAUTHORIZED ALTERATION OR ADOITtON TO
THIS SURVEY IS A VIOLATION OF SECTION
7209 OF THE NEW YORK STATE EDUCATION
LAW
COPIES OF THIS SURV[¥ MAp NOT ~EARING
REVISIONS
dAN. I$,
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
SURVEY FOR:
WOLFGAN~ O. ~RU~E ~ CHARLOTT£ A. ~RUBE
~WN OF ~ ~ CNARLO?TE A. GRUOg
SOUTHOLD ] r/co~ r/r~E euA~rm
~ SUFFOLK CO, N Y eY ,
POOL ~=NC;LO~U}~ NOTES,
4-h",c~dkrneUr 0m ,wr,)
¢44 ~.
'PIPING
SCFtEMA I'IC
~- DO NOT DIVE ~N Tile 5HALLON END
SEC I'ION 'IA - At'
NO ~CALE
SPA
PLAN VIEPq
No 5CALL
TYPICAL I,,qALL
SECTION B - B
GENERAL NOTES
FOLLOWING INSPECTIONS:
(~ J'IMMEDIATELY"
ENCLOSE POOLTO CQDE
,ORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
RET.,AI~ STORM WATEP
PURSOANTTO SECTIC:
OCOl 'ANO? OR ALL CONSTRUCTION SH~L
~ UNLAWFUL
WITHOUT CE~ FtCATE ~s~A~, '
OF oCCUPANCY
CAPACITY HOTIFY BUILDING DEPARTMENT AT
~4ooo 765-1802 8AM TO 4PM FOR THE
~ALLO~5 ~ 1. FOUNDATION - TWO REQUIRED
,TELY" ~ FOR POURED CONCRETE
?r~l~OE /~. ROUGH-FRAMING& PLUMBING
~L,~TI~ /3. INSULATION
~ /4, FINAL - CONSTRUCTION ~UST
'"~ / BE COMPLETE FOR C.O.
~~LL CONSTRUCTION SHALL ~EET THE
~ hEQUIRE~ENT$ OF TH~ CODES OF NEW
NOTE:
GUNITE SP',II~ING POOL
STANDARD
ALCAMO POOL$~INC.
4/19/2007
SCALE
NONE
PCP
q401-]70
SHEET NO
PHILIP C. PAIdDOLI~I
A R C H I T E C T .~
/
~5 t BARBARA TALBOT
800 PRAITY ~NE
TI TLE NO. T- ~BSG-55G5
M~IN RO~D I~ Rte ~5
~, I~ i~'~·
''~ now Or formerlp ~ ~
w or formerly ~1 " ~ ~ ~
on~ ~ Another ~ ~ ~ - ~
, ~ "~ ~ ,, ~
~0~ K
0o~ or ~Or~erl~ ~°~r!
/
/
/
THIS SURVEY NOT TO
BE USED FOR TITLE
PURPOSES
~2zoo! ~WS~ONS YOUNG & YOUNG
SURVEY FOR:
~,lo. WOLF~AN~ O, ~RUBE t~ CHARLOT~E A. ~RUB~
AT CUTCHOGUE GUARANTEED TO: