The URL can be used to link to this page

Home My WebLink About33662-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ~o: Z-33757 Date: 06/03/09 THIS CERTIFIES that the building SWIMMING POOL I~)cation of Pro~rty: 175 RICHMOND LA PECONIC (HOUSE NO.) (STREET) (H~-MLET) County Tax Map No. 473889 Section 86 Block 1 Lot 4.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit.heretofore filed in this office dated JANUARY 25, 2008 pursuant to which Building permit No. 33662-Z dated FEBRUARY 1, 2008 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 DAVID M & KIM A OKULA ( OWNER ) of the aforesaid building. SL~FFOLKCOI~%~I~fDEp~AR~qTOF }~%LI"~APPRO~]~L N/A ELRt-i~ICAL c~KTIFICA~ NO. 3059229 04/02/08 PLUMBERS c~KTIFICATION ~A'r~u3 N/A Rev. 1/81 Form Ho. 6 TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL 7~5-1802 APPLICATION FOR CERTIFICATE OF OCCUPA This application must be filled in by typewritex 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 line~, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and se~varage-disposal (8-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn Smtoment from plumber omifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple rczidences and similar buildings and installations, a certificate of Code Compliance from architect or enginoer responsible for the building. 6. Submit Planning Board Approval of completed sit~ plan requirements: For existing'buildings (prior to April 9, 1957) non-ennforming uses, or buildings and "pre-existing' land uses: 1. ' Accurate sm-vcy of propcW/showing all proper~ lines, streW, building and.unusual natural or topographic features. 2. A p~operl¥ oompleted application and consent to iusp~t signed by thc applicant. If a Certificate of Occupancy is dcuied, the Building Inspector shall state the r~sons therefor in writing to the applicant. C. Fees L Certificate of Occupancy - New dwelling $25.00~ Additions to dwelllng $25.00, Alieratious to dwell;rog $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $$0.00. Certificate of Oecepancy on Prc-cx. isting Building ~ $100.00 3. Copy of Certificate ol~Occupancy - $.25 Updatodeertificate of Occu~pancy - $$0.00 T~mporary Certificate of Occupancy - Residential $1 $.00, Commercial $1 $.00 Date. New Construction: ~01d or P~r,a~isting Building: onofP o y: /76 House No. S t Owner or Owners of Property: Suffolk County Tax Map No 1000, Seetien Subdivision Permit No. 3 3 ~ ~ Health D~pt. Approval: PC ('o//I( (check !3)/ Hamlet Filed Map. 'Lot: .~DateofPermit. '~ // /0"/~ Applicant: / '/ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Finai 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. 33662 Z Date FEBRUARY 1, 2008 Permission is hereby granted to: DAVID M & KIM A OKULA PO BOX 218 PECONIC,NY 11958 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 086 pursuant to application dated JANUARY Building Inspector to expire on AUGUST Fee $ 250.00 175 RICHMOND LA PECONIC Block 0001 Lot No. 004.002 25, 2008 and appro%~d by the 1, 2009. ~orize~~ 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 R.J. CORAZZlNI ELECTRIC DAVID OKULA 320 RICHMOND LANE 175 RICHMOND LN PECONIC, NY 11958, PECONIC, NY 11958 Located at 175 RICHMOND LN PECONIC, NY 11958 '~ '~ ~(~ ~L Application Number: 3059229 Certificate Number: 3059229 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: 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 2nd Day of April, 2008. Name QTY Rate Rating Circuit Type Appliances and Accessories Pool/ Spa Bonding I 0 Time Clock/Switch 1 0 Wiring and Devices Fixture 1 0 Pool/Spa Receptacle 1 0 20a Pool/Spa Receptacle I 0 GFC1 (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 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 INSPECTOR FOUNDATION (1ST) FOI.~DATION (2ND) PLU ~W[BE'q G LNSULATiON PER N. Y. STATE ENERGY CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTFIOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork, net/Southold/ Approved ,20__ Disapproved a/c Expiration BUILDIN(5 ?EKMII Ai°I~LICA I tUl'q k.,nct_,mL, to ~ PERMIT NO. ~.~d&2 ~ "A,p. PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Smwey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Phone:~ml/qq -gl ~O }1 ~ ~ I-,45 ,20 o8' 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 adj oining 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 1 8 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 SouthoId, 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. · ~,~ (Signatui'e of applicant or name, if corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder _ ~,tl c, mUacqar~ Name of owner of premises ~"~)Cb/l~[- O~d o,_ (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. ~,9Oq'l 02, d Plumbers License No. Electricians License No. ~lhL} g Other Trade's License No. Location of land on wj~ich proposed work will be done:D . House Number Street County Tax M_ap No. 1000 Section Subdivision (q~ c3xmo q3 (Name) Hamlet Block O I Filed MapNo. '/ag q:b Lot t~, ~ Lot ;-~ State existing use and occupancy of premises and i~ended use and occupancy of proposed construction: a. Existing use and occupancy .~tr/~ I¢_,-~lt~ }t4 ('t'-~'~a¢lF_.~ - ,, b. Intended use and occupancy S[f3~[~:/~m,l~ {'~¢SCfAEe t~)[~qpu, jn¢(._ Su2,;'n,v'~,o~ Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work ~'Ti"r>O I (Description) Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars (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 Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Dimensions of entire new construction: Front Height Number of Stories Rear Depth Rear 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated I2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v- 13. Will lot be re-graded? YES -c,--' NO __ 14. Names of Owner of premise~s~ k-~~lc[ 19[dztlc~ Name of Architect k.6o~ Jdms~r~ Name of Contractor ~d~ ~ec~ 15 a. Is this prope~y within 100 feet of a tidal wetland or a ~eshwater wetland? *YES * IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE ~EQUIRED. b. Is this prope~y within 300 feet of a tidal wetland? * YES NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Will excess fill be removed from premises? YES__ NO ~ Address ~m~c~tt.,~ ~e~ ,c Phone No..{3 ~f °t - fft)onq Address 1l'Si-ak:~'4~llq~jt ~ PhoneNo ~3~-~o5 Address qvl ~, zs~ Phone No. ~q~-8 md NO ~ 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 ) ('- ~:[nC[c~'T ~:[~l~_~--(' being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0-o a'~FfO'~ (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 ofh/s knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me tl~fis /~0tary Ptl~ ~) } Signature of' Applicant 25, 20~ ? ? LOT 2 A. La~l Surveyor Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM EXEMPTION S: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm*water, Grading, Drainage & Erosion Control Plan Is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORMzWATER~ GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each question is required for complete application) Yes No Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site clearing and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 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? Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direvtion of a Town Right-of-Way? 7. Will this application require'the placement of material, removal of vegetation and/or the construction of any item witt~in the Town Right-of-Way or road shoulder area? (This item does not include the installation of driveway aprons.) there be site preparation within the one hundred (100) year floodplain of any watercourse? 8. Will Note: If any answer to questions ~)ne through eight is answered with a check mark in the Box, a Storm-water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to issuance of any building permit, STATE OF NEW YORK, COUNTY OF....~.~.l.~. SS ~'~ ~_..06~edcd.('"' being ~eposes and says that he/she is the applicant for Pe~t, ~at I,~..~vA duly sworn, ~ame of individual si~ing Documenl) ' ~d that He/She is the (Owner, Conlractor, Agent, Coq~ot ate Officer, cie) O~er anWor representative of the O~mr or O~er's, and is duly authorized to peffom~ or have perfo~ed ~e said work and to make and file this application; that all statements contained in this application are ~e to the best of Ns ~mwledge and belier; and that the work sill be performed m the maturer set fo~ m the application filed herewith. Sworn to before me this; ~ ~d 3~J1t./~t-.4 2004 I~T~A~Y ~, ~ YO~ / ) SURVEY OF LOT 2 ~OF RICHMOND SHORES AT PECONIC SITUATED AT PECONIC TOWN Of" SOUTHOLD SUFFOLK COUNTY, NEW YOEK S.C. TAX No. 1000-86-01-4.2 SCAM[ 1"=40' M,kY 24, 2000 JULY 2u,. 20(;~) R~ WATER SERVICE SE~llmlI~R 5. 2o02 ~ PROPOSED HOUSE sEPTEMBER 10. 2002 F'oUNDA'i'iON LOCATION AREA = 2~5,34.4.11 :sq. ff. 0.$:~6 ac. N.Y.S, kic. No. L PLAN SECTION A lO' SECT[ON B NOTES ri ( E] ) ; APPROVED AS NOTED DATE:~ B.P. # NOTIFY BUILDIN~ DEPARTMENT ATro~us 765-1802 8AM TO 4PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMIIXG & PLUMBING 3. INSULATION 4. FINAL ~ CO,'Lr:,rRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK Si,CrE. NOT RESt:~I~I~I[ ~R DESIGN OR PLUMBING SCH ElViAT[C UNDERWRITERS CERTIFICATE REQUIRED VvlTHOU? CER1 OF OCCUPANC WALL SECT[ON "IMMEDIATELY" ENCLOSEPOOLTO CODE UPON COMPLETION BEFORE"WATER" OZ- a UL IFICATE 6-24-03