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HomeMy WebLinkAbout33248-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33753 Date: 06/03/09 THIS c~KTIFIES that the building INGROUND SWIPING POOL Location of property: 3750 BRIDGE LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 84 Block 5 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 9, 2007 pursuant to which Building Petit No. 33248-Z dated JULY 17, 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 RICHARD E BOZSNYAK JR & LAURA (OWNER) of the aforesaid building. SiiFi~)i~(CO~I-/DEp;[~OF~THAPPRO%r~J~ N/A ~-rKICAL U~a{'rIFICATH NO. 4029119 05/14/09 I~L~EP~ UF~('rIFIC_ATION DA'r~u3 N/A /~~ori z~e Rev. 1/81 Form No. 6 TOW OF BU D G DEP TMENT II - - IIII TO~ H~L Il ~11 Ill II 76511802 lUUl ooo ~PLICATION FOR CERTIFICATE OF OCC~CY / ] I ~ ~PI. ~s app]ioatien m~t ~ fill~ in by ~ew~ter or ~ ~d sub~tted to ~e Building D~ m~m wla~ am ~ll~.ms: A. 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 s~lder used in system contains less than 2/I0 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 Planuing 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 applieation and cousent to iuspect 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 dweiling $25.00, Alteratious 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 Certifieate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: 3 q50 HOUSe No. Owner or Owners of Prope~ty:"~ i r.hard Suffolk County Tax Map No 1000, Section Subdivision Pennit No. :3 5 ~,~ q c~ Health Dept. Approval: Planning Board Approval: Date. Old or Pre-existing Building: /~r/doe d Street Date of Permit. 5- ~ -t (check one) Filed Map. Applicant: '~iC~f~trc~ Lot / cD Lot: Underwriters Approval: Request for: Temporary Certificate Fee Submitted:~ c,~ o~o Final Certificate: / (check one) -- Applican~ ~l~atuh- -Q~ 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. 33248 Z Date JULY 17, 2007 Permission is hereby granted to: R BOZSNYAK PO BOX 31 CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated JULY Building Inspector to expire on JANUARY 3750 BRIDGE LA CUTCHOGUE Block 0005 Lot No. 010 9, 2007 and approved by the 17, 2009. Fee $ 250.00 / Authorized Signature ORIGINAL Rev. 5/8/02 CERTIFICATE OF COMPLIANCE THE BY THIS 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 REP ELECTRIC RICHARD BOZSNYAK PO BOX 635 3750 BRIDGE LANE MA~-ITUCK, NY 11952, CUTCHOG U E, NY 11935 Located at 3750 BRIDGE LANE CUTCHOGUE, NY 11935 Application Number: 4029119 Certificate Number: 4029119 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 the 14th Day of Ma),, 2009. Name QTY Rate Rating Circuits Type Appliances and Accessories Pool / Spa Bonding 1 0 Time Clock Switch 2 0 Wiring And Devices Fixture I 0 pool Incandescent Receptacle 1 0 pool Gert, Purpose Receptacle 1 0 pool GFCI Receptacle 1 0 20a-pool Special / twist lock Switch 1 0 pool 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 seal I of l 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 [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~_~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE C01VEVIENTS FrEI,D INSPECTION REPORT FO~DATION (2ND) PL~G LNS~ATION PER N. Y. STATE ENERGY CODE ~DITION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 7/7 ,20 ~7 Approved 1//? ,:o O ? 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_ f Check ~ Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Expiration /// 7,20 ~ /Q -"-~'- ~ n ~ IV i'~.' t Bh~lding Inspector ~~_ ~~~ ,~''LICATION FOR 'UILDI~ 'ER'IT ~._~. -- INSTRUCTIONS a. This application MUST be completely filled in by t~ewriter or in ink and submitted to thc Building Inspector with 4 sets of plans, accurate plot plan to scale. Fec according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such a permit shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pan for any pu~ose what so ever until the Building Inspector issues a Ceaificatc of Occup~cy. f. Eve~ building pe~it shaIl expire igthe work authorized has not commenced within 12 months aker thc date of issuance or has not been completed within 18 months kom such date. If no zoning amendments or other re~lations affecting the propeay have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. ~erea~er, a new pe~it shall be required. ~PLICATION IS HE,BY M~E to the Building Depaament for the issuance o~ a Building Permit pursuant to the Building Zone Ordin~ce of thc Town og Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the const~ction of buildings, additions, or alte~tions 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 ~d in building gor ncccss~ inspections. ,20_o_2_ "IMMEDIATELY ' UNOERWRITERS CERTIFICATE (Signature of applicant or name, ifa corporation) ENCLOSE POOL,TOCoL: REQUIRED '-'?o ~ox ? ~.~g.,~.~,~'; ~/y'//?~' UPON COMPLL~riON ALL CONSTRUCTION SHALL (Mailing address of applicant) BEFORE "WATER' ME~ THE REQU;REMENTS OF THE State whether applicant is owner, les~{~E~i~, N~E~., general contractor, electrician, plumber or builder ~,.~_,~,.,~x~., ,_APFROVED AS h~OTED DATE:~ B.P. # Name of owner of premises "~ IF<~./~I~ ~'~OZ~/~ ~? -~5~_E: ~ ~1). / ~: ~ (As on the tax roll o~d~tN~ 937),ST~lEST Al If applic~t is a co~oetio~,~ignature of duly authorized officer 765-1802 8 A~ %~ 4 7~f FOR IHE (~me ~d t]t]e of co.orate officer) 1. FO~ ;NDATION - t'., 3 REQUIRED FC,:~; POURED CC~'CRETE CUPANCY Builders License No. /~/~ ~_ OR 2. ROUGH - Fc,~,,,,. PLUMBING P umU , Uc ns USE IS UNLAWFUL 4. FINAL - CO~'17T~:U :N MUST Electricians License No. ~ ~ ~ m~m~ ~ mF BE COMPLE: ¥ ,:_ , J.O. Other Trade's License No. V~I I ~U~ I ¢~ I Ir I~gl~ ALL CONSTRUCt' 3'; SHALL MEEt THE OF OCCUPANCY .mU .S S TS O* COa[S O, .[W 1. Location ofl~d on which propose¢¢ r~---- '-----o will be done: YORK STATE. NOT RESPONSIBLE FOR ~7~ ~/~ ~ DE~~CTION ERRORS. Ho~ ~umb~ S~cct Hamlet County Tax Map No. 1000 Section ~,/ Block o~' Lot /,4 Subdivision'~,c~2)> ~z.~,~K -x~. Fi[ed Map No. _~'77- Lot /~ (Name) ' Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: Olstflct Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 8TORM-WATER~ GRADINGI DRAINAGE AND EROSION CONTROL PLAN CK~rlFIBD BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number. (NOTE: A Check Ida~ (~) for each Ouesfion is Requirad for a Complete Application) 1 Will this Project Retain All Slorm-Water Run. Off Generated by a Two (2') Inch Rainfall on Site? Yes No (This item will include all mn-off created by site clearing and/or constmciton activities as we~l as all Site Improvements and the permanent creation of impavious surfaces.) 2 Does the Site Plan and/or Survey Show All Pmpeeed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Conbolling Sudace WaterFIowl 3 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 4 W{II this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or with n One Hundred (100') feet of a Wetland or Beach? any item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT Include tho Installation of Drfveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (t00) Year Floodplain of any Watemoume? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan la Required and Must be Submitted for Review Prier to Issuance of Any Building Parmiti EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? J Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requiredl __ STATE OF NEW YORK, COUNTY OF ........................................... SS T ?' ' hat 1, ..~'~..ff-7,~.......?~:~Z-~- ....................... being duly sworn, deposes and says that he/she is thc applicant for Permit, (Name of individual si~liflg Document) And that he/she is the .................... ~.r(2...~/..~...F~. .................................................................................... (Owner, Contractor, Agent, Corporate Officer, ete.) Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have perfommd the said work and to make and file ~his application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perl'ommd in [he manner set forth in the application filed herewith. Sworn to before me this; ................... ....... No y enblic: ..................... ~ /! u ~ Muemraoln~urrolkCou~lty TOWN OF SOUTHOLD PROPERTY RECORD CARD W ~PE OF BUILDING FR~TAGE ON WATER '( ~) ~ FRONTAGE ON ROAD / ~ BULKH~D q ERtCK VAN TUYL, P.C. LIC£NS~D CAND SU~y-O~s GREJENPORT NEW YORK S~FOLK CO. I~EAI:TI~I D~PT. H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAC~E DISPO SYSTEMS FOR THIS RESIDENCE CONFORM TO THE STANDARDS OF SUFFOLK CO. DEPT. OF HEALTH SERVI, (si APPLICANT SUFFOLK COUNTY DEPT. OF HEA SERVICES -- FOR APPROVAL CONSTRUCTION ONLY DATE: H. S. REF. NO.: 87-~0' APPROVED: SUFFOLK CO. TAX MAP DESIG~NATI(~N DIST. SECT. BLOCK /~0OO ~',-sc OWNERS ADDRESS: DEED: L. ~1~ P. TE~ HOLE STAMP to additional in.it utiegm or rubs, 8' q 8' 8 8' h TOPAZ STERLING STONETITE (0560S1 103,205l 103-305) NON DIVING UNERS H-6 (03-643)I-8 (03-243) S-14 {03-343) 'Oiogemls given to 90° Imint of caners. 8' Steel Ste~ {side) Ilenxwe 2~108,009) 8' panek ins~ I-(o&3Ol } 81 stag dep, 1-(08,013)7 pa~ I-(08-167) 45'x1' h'lle panel end 1-(08-168) 4' lu~ panel 141&083) sled s~K, coping set and 1-(10-085) coping cm'ne~ sol required. See Imge 1. 8' Sle~ Step (oM1 Remove 2-(08-009) O' panels and 1-(08-016) 4' panel. Ir, se1 I-(08-301) e' ~?p, 2-(08-16714,5 x I fille~'~enels, 2-(08,015) 5 pand.,ond 2-(08-210) e~onomy b~o~e~. I-(1,0083) steel step c~n9 set o,d 2-(10,085) copiq (oi'ner sets lequired. See pge I. FRN-OO5 MAY J'"" 20' X 40' 1995 J RECTANGLE 6' RADIUS IN-GROUND SWIMMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A VINYL LINER THAT WILL HOLD APPROXIMATLY 35,000 GALLONS OF WATER. FENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HIGH WITH SELF CLOSING GATES THAT WILL MEET TOWN CODES.