Loading...
HomeMy WebLinkAbout34597-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33685 I~ate: 05/01/09 THIS ~TIFIES that the building ACCESSORY Location of Property: 6670 SKUNK LA (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 5 Subdivision Filed Map No. __ Lot No. __ CUTCHOGUE Lot 7 ( HAMLET ) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2009 pursuant to which Building Pel~nit No. 34597-Z ~ted APRIL 9, 2009 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 BRIAN & ELLEN GALLAGHER ( OWNER ) of the aforesaid building. SUFFOI~KCO~YDEPARq~T OF ~{F~%LTHAPPRO~-AL N/A E~.~C~!~RICAL c~TIFICA~ NO. 117902C 07/30/07 PLIERS C~KTIFICATION DA'rF~u N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 loc~tion of alii buildings, prOPerty Frees, 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 iustallation fix)m Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the ~older used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residance~ and similar buildings and installations, a certificate of Code Compliance from arehitcct or engineer re*pousible 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 buddings and "prc-exi 1. Accmate survey of property showing all property line~, streets, building undunusual natural or features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificat~ 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 d Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Bt 2. Certificate of Ocoupancy on Pm-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 Updated Certificate ofOccu, pancy- $50.00 4.5. Tempotm-y Certificate of~ccupancy - Residential $15.00, Commercial $15.00 Date. New Construction: House No. ,'x-- ~ Strut . xJ ! '-~lamlet Owner or Owners of Property: /~~ ~q.~4Od~ ' Suffolk County Tax Map No 1000, Section /0'¢ Block ~ Lot-- Subdivision , ~ t Filed Map. Permit No. ~~Da~f~ermi!. ~ft. q/tff/ Applicant: ,~ ? Final Certificate: ~/ (check one) Applicant Signature Request for: Temporary Certificate Fee Sabmitted:$ ine .... Issue Date 7/30/07 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application 375 Dunton Avenue 117902C East Pstchogue, New York 11772 (631) 286-6642 Issued To: Mr. Brian Gallager Street: 6670 Bay Avenue Village: Cutchogue Zip: 11935 Section: 104 Block: 5 Lot: 7 Contractor: Elec Tec Inc. Town: Southold Lic.# 4814-E Was examined and found to be in compliance with the National Electrical Code. Commercial L~ NV Defects IX~ Pool ~ lstFIoor [Xl Indoor Residential [] DeL Garage /' Attic [] 2nd Floor [Xj Outdoor ·] Addition Switches Recep~aclea Fixtures GFI Heaters A/C 2 1 Dishwasher · Basement [~ Hot Tub I~il Survey Fans Wesher/Amps D~/er/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi / Television CO Detector Bldg. Permit: Other Equipment 1:Po01 Light/~-SUbpan6i Raintight/2-Time Clocks/2-20 amp Spec. Outlets/1-15 amp Heater Disc. Hugo S. Su/~li President Rough Inspecidon: Inspector: Rnai InspecUofl: 07/25/2007 Inspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectom may be identified by their credentials. 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) PER~IT NO. 34597 Z Date APRIL 9, 2009 Permission is hereby granted to: BRIAN & ELLEN GALLAGHER 3445 LUFBERRY AVE WANTAGH,NY 11793 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR YARD,FENCED TO CODE. at premises located at 6670 County Tax Map No. 473889 Section 104 pursuant to application dated APRIL Building Inspector to expire on OCTOBER SKUNK LA CUTCHOGUE Block 0005 Lot No. 007 9, 2009 and approved by the 9, 2010. Fee $ 250.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 32683 Z Date JANUARY 30, 2007 Permission is hereby granted to: BRIAN & ELLEN GALLAGHER WANTAGH,NY 1~793 O for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR IN THE REQUIRED REAR YARD at premises located at 6670 County Tax Map No. 473889 Section 104 pursuant to application dated JANUARY Building Inspector to expire on JULY Fee $ 250.00 SKUNK LA CUTCHOGUE Block 0005 Lot No. 007 24, 2007 and approved by the 30, 2008. zed Signature ORIGINAL Rev. 5/8/02 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: DATE /~-17'-a~ iNSPECTOR ~r~-, ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ]INSULATION ~INAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION FW, I,D ll',!SPECTIONREPORT ] DATE I COMMENTS FOU2NrDATION (IST) FOUNDATION (2ND) ROUGH FRAM3[NG & PLUMBING ]INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 · FAX: (631) 765-9502 www. northfork.net/Southold/ ,/ Examined !'/'es' ,20 ~ Approved / ,20_ Disapproved a/c Expiration ,20__ PERMIT NO. -~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, befbre applying? Board of Health 4 sets of Building Plans v/' Planning Board approval Survey fi/ Check r./ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date /,/~Z ,20t97 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 according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationslfip 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 prenfises 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 proper~y 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) (Mailing address of applicant) State ~vhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If applicant is a corooration, signature of duly authorized officer '(Name ~md title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location ot~land on House Number which proposed work will be done: Street Hamlet County Tax Map No. 1000 Section _/fi)p/ Subdivision "-6,7~,,c) (Name) Block ff Filed Map No. Lot ,~ 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 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~,s~,, ~./)Ot).rv~) 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration oL) (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 Height ~/ Number of Stories Rear ff~J Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stodes ~ ~ ~ ~, 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front /,9 Z~'oz'~ Rear /d~ 2, e'~-' Depth 10. Date of Purchase Name of Former Owner ll. Zone or use district in which premises are situated 72~3/2>~-~-~.-~,,J'a -~'-~'~ 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 premisesZ;~//~,v z~,~.z,4w~,z Addressd6,,~ *r,~//~-- &,~q;~Phone No. ~ Name of Architect Address Phone No Name of Contractor d,~,~,~ ~-o~ ~,~ Address ~, ~ . . Phone No. ~'~'e'- 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. NO-k' 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 OF ~ ?%k,kC) ~Z2~ -- ~' _ ~-Td,~ /'7.,z/'/;~t~" being duly sworn, deposes and says that (s)he is the applicant (Name of individual sit,ting 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 beliefi and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me ~l~ss'/// ~'~ day/~' ./"~O/~'~t 20 0 7 / ~ota~blic x ~ Note~ublic, State of Now York ~s~ified in Suffolk Coun~ ~ No. 01SC47250~ ,~ T~rm Expires May 31, ~- Signature of Applicant TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER C-~n I Ioa ¼e r'- FORMER Ow~IER LAND VL. IMP. TOTAL ! 1'4 ~oo 3 $ o~ ' oo ~ 1 ~'¢o~'~'~ "~ ~ oO FARM DATE VILLAGE SUB. LOT Mkt. Value AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowla~cl DEPTH House Plot BULKHEAD Value Per Value Acre DOCK TRIM Extension Extension Extension Porch Breezeway Garage Pbtio Foundation Ext, Walls Fire Place Type Roof t Recreati__on_ _Room · . LDormer Beth Floors Interior Finish Heat ,~ Rooms I st Floor Rooms 2nd Floor Driveway Dinette LR. DR. BR. FIN. B 104.-5-7 9/06 COLOR TRIM I st 2nd M'BId~+~'~'X~---- /O~C~, ~'..~'0 ~"??D Foundation ~ _ Fin, B, Bath ~ Dinette Exten{~°3 ~ x13 ~ / ~ ~s° ~.'~ ~0 easement s~ PA"T'AL Floors Kit, Ext~nsi~: ~g: ~ ~ Ext. Walls L.R. Extension Fire Place O~ Heat D.R. Patio Woodstove BR. ~o~ ~ ~o~me~ Ba~h~ Garage ~X~: ~ I,~q ~_d ..... O.B. Pool O~WNER STREET VILLAGE ACR. TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE REMARKS FRONTAGE ON ROAD DEPTH BULKHEAD I SUB. LOT TILLABLE WOODLAND MEADOWLANE) HOUSE/LOT TOTAL WI~t.I. TOWN OF SOUTHOLD PROPERTY REC STREET VILLAGE ACR. TYPE OF BLD. REMARKS PROP. CLASS TOTAL DATE 12716223150-2H 2054 2486 COPIES ~. ~T,S C~L 806-421-1030 SUI~N4~¥ OF PP. OPEP-.TT SITUATE, OUTCHOCUE TOIAIN, SOUTHOLO 5t)F~OLK COUNTY, NY SU~VFYtED SUFFOLK~ COUNT'f' TAX ~ 1000-104-5-~ N E NOTES: · I"qONUMENT FOUND 0 PiPE FOUND · t~.E DA~ FOUND ELEVATIONS REFERENCE SUFFOLt< COUNTY TOPO f'dAPS TO~N P~.OPE~.TY ZONE P. 40 AREA = 1~2,121 SF or' 0.~ ACP-.ES ®P. APHIC, SC, ALE I"= 50' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 ~'~'r]. 8' n 8' I1 8' n -8' · 8 5 4 U 8 U 8 U 8' 'U 8' ' 24' I'kia I'~mk (01.01 &) I.~' Cm~' Set I -l~ (~ir, J (Jrl ~f (I 0-004 bl~e 44' ~ ;~ek (0~.0~9) I ~' ~lmm~ i)oml (0~.01 i ?4' ~ ~ {OJ-OlO) SiZE Il' z 34V [N-GROL~D SWIMMING POOL ~.'ILL BE CONSTRUCTED OF STEEL WALLS Sb~I:)C)RTINO A VINYL LINER THAT '~,' .L HOLD APPROX MATLY 27,500 GALLONS OF WATER.. FENCE WILL BE AT LEAST 4' H]GI! WITH SELF CLOSING GATES.THAT ~,qLL MEET TOWN CODES. APPROVED AS NOTED - DATE: '?,.~__~ B.P. # ~-~ l~)~"'3"~ NOTIFY BUILDING b::~ARTMENT AT !765-1802 8AM TO 4bM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE OODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR USEISUNLAWFUL WITHOUTCERTIFICATE OFOCCUPANCY UNDERWRITERS CERTIFICA'E REQUlREO "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODE8 OF NEW YORK STATE.