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Home My WebLink About33147-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/gCY No: Z-33765 Date: 06/09/09 T~IS CERTIFIES that the building SWIMMING POOL Location of Pro~rty: 772 INDIA/g NECK LA (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 86 Block 4 Subdivision Filed Map No. __ Lot NO. __ PECONIC (FLAMLET) Lot 1.11 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 2007 pursuant to which Building Petit No. 33147-Z dated JUNE 12, 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. 7~ne certificate is issued to JAMES A & MURIEL D-NDREWS ( OWNER ) of the aforesaid building. SUF~)LKC~)~I~fDEPART~T OF f~AL~APPRO¥~EL N~A EI_~L-rKICAL C~KTIFICATE NO. 7731 07/14/07 CERTIFICATION DAm~u N/A ~A/ut~ignature Rev. 1/81 FORM NO. 4 TO,Ag OF SOUTHOLD BUILDING DEP~-RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/gCY No: Z-33766 Date: 06/09/09 THIS CERTIFIES that the building HOT TUB Location of Property: 772 INDI/%N NECK LA (HOUSE NO.) County Tax Map No. 473889 Section 86 Su~division PECONIC (STREET) (H~LET) Block 4 Lot 1.11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 2007 pursua_ntto which Building Permit No. 33147-Z dated 0~JNE 12, 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 HOT TUB AS APPLIED FOR. The certificate is issued to JAMES A & MURIEL ANDREWS (OWNER) of the aforesaid building. S~FOI~K ~D[~qT"fDEPAR~OFfI~%LTHAPI~RO%~%L N/A EL4~-rKICAL CERTIFICATH NO. 8543 12/18/08 PL~S Cg~RTIFICATION ~r~u N/A /or/ed S~nature Rev. 1/81 This~pliel~ion~igt be filled in by typewriter or ink and ,ubmitted to the Building Depaltment with the followmg: X ~ A. For~uilding or new use: I. Final survey of property with accurate location of all buildings, pr0peny lines, streets, and unusual natural or topegraphie features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 form). 3. Approval of electrical installation from Board rffFire Underwriters. 4. Sworn statement from plumber eartifying that the ~older used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residances 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 ali property line~, street~, building and.unusual natural or topographic features. 2. A properly completed application and cousent 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. Fecs Ce~ficate of Oocupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory buildin§ $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 ofOocupaney - Residential $15.00, Commercial $15.00 New Construction: Location of Property: jOld or Pre~existing Building: Date. House No. Street Owner or Owners of Property: ~q~ ~t~ ~e/ Suffolk County Tax Map No 1000, Section Subdivision PermitNo. ,33/q7 DateofPermit. ~-'t~---'~? (check one) Hamlet Block ('~ Lot Filed Map. Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Undenvriters Approval: Finai Certificate: L~(check one ~'~ '~~CATIO! FOR CERTIFICATE OF OCCUPANCY ' -- ~be filled in by typewriter or ink and submitted to the Building with the following: Department A. For new building or new use: 1. Final survey ofpreperty 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 fromBoard of Fire Underwriters. 4. Swora statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lea& 5. Commereial 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 req~ents. 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 andunusual 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. New Construction: Location of Property: Owner or Ownsrs of Property: }Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratious to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to a¢~ssory building $25.00, Businesses $$0.00. 2. Certificate ofOccupancy 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 $ t 5.00 Oid Date. T"~. ~)q or Pre-existing Building: (check one) Ho~se-No. Street Hamlet Permit No. '~3 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. ~ ~'/2-.'~7 Lot Filed Map.. Lot: Applicant: ~'"~J Underwriters Approval: Finai Certificate: L~(check one) ~ "- '~ppli~ant S~gnature Suffolk County Tax Map No 1000, Section Subdivision Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York 4. 11931 Tel: 631-591-3097 Fax: 6.31-591-3098 Application: 7731 Date: 7/14/07/07 Issued to: Andrews Address: 772 Indian Neck Lane Introduced By: Bethel Electric Village: Peconic License #: 28800-ME Residential [] Commercial The following was examined and approved up to the above date and found to be In compliance with the NEC: Attic I"t Floor 2"d Floor .3rd Floor Garage Conversion Basement Hot Tub ~ Addition Detached Garage Pool [] Switches Receptacle Fixtures G.F.I. Pool Panel Salt Generator I 2 I 1 l Fans Dishwasher W~sher/Amps Dryer/Amps Oven Rang-dAmps Carbon Monoxide Furnace Oil Gas Heat Zones Whirlpool Bell Transformers Rough Final Meter Amps Phase Motors Inspection Inspection 7/12/07 II 7/14/07 i Other Equipment: In Ground Pool Permit #: Section: 86 Block: 4 Lot: 1.11 This certificate must not be altered in any manner Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, Ne~s' York · 11931 Tel: 631-591-3097 Fax: 631-591-3098 Applicalion: Issued 1o: Arid tess: Village: 8543 Date: 12/18/08 Amlrexvs 772 Indimt Neck Lane Introduced By: Bethel Electric Peconic License#: 2880-ME Residential [] Commercial The following was examined and approved up to the above date and found to be in compliance with the NEC: Allic I~' Flonr 2''d Floor 3r~ Floor Garage Conversion Basemen! tlot Tub [] Addition Detached Garage Pool 12 17,08 ]1 12'18 t18 Permit#: Scctio~: 86 [Mock: 4 Lot: 1.11 This certificate must nol be altered in any manner 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. 33147 Z Date JUNE 12, 2007 Permission is hereby granted to: J~4ES A & MURIEL ANDREWS PO BOX 227 PECONIC,NY 11958 for : CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 772 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0004 Lot No. 001.011 pursuant to application dated JUNE 12, 2007 and approved by the Building Inspector to expire on DECEMBER 12, 2008. Fee $ 250.00 Authorized Si~e ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG, [ ] FOUNDATION 2ND [ ] IN~J~N [ ] FRAMING / STRAPPING Ir/~] FI~AL~ .~ [ ] FIREPLACE & CHIMNEY [ ] FIRE'SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~~ INSPECTOR INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ],~.~__ ATION [ ] FRAMING / STRAPPING [~,]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~,/d_.,J'/~ .~/,~ ~ FO~AT~O~ OS~ FO~ATION (2~) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ///~ Approved Disapproved aJc PERMIT NO. -6cFC -' ' Do 3 sets of Buildin~O~¢ ~ Check Septic N.Y,S.D.E.C. Trustees Contact: Mail to: Phone: k~pecto~ APPLICATIONFORBUILDINGPERMITDatf~...~ 9~(~' INSTRUCTIONS ,2o0-1 a. This application MUST be completely filled in by ¢/pewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of building~ ~n'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 app,,oval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be ke~pt on the premises available for inspection througho,3t'the work. e. No building shall be occupied or used in whole or in part for any purpose what-so-ever until a Certificate of Occupan is issued by the Building Inspector. 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 cbnstruction of buildings, additions, or:alterations or for removal or demolition as herein described. The applicant agrees to coi-nply with all applicable laws, ordinan6es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for nedess~ry inspections.__ , ~ /- /tl~Signatm'e of applicant'Or-name, if a corporation)' I. (Maihng adt:tress of applicant) ' State whether applicant is owner, lessee, agent, architect, ~ngineer, general contractor, electrician, plumber or builder Name of owner of p;remises '¢'~~ ~-IO ~J~ (as 9n the tax roll or latest deed) If aj>Vl~nt i_s~. signatureffif duly ~thofi~d officer \ "--'(~N~a~e and title of corporate officer) ' . Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will b~ done: House Number Street CountyTax Map No. 1000 Section Subdivision (Name) Hamlet 4 Filed Map No. Lot L State existing use and occupancy of prejIfises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building. Repair Removal .Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee Addition t~lteration Other Wor!;~i~-6~.oa/O~ ,~O{~attj~ ~ I ~-'~ roe ' (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Height Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front ReAr Depth Height Number of Stories Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded 4. Names of Owner of premises'~-I~t&:~ Name of Architect "a'-l~t~, Name of Contractor DIII0P-.~ Address"/"/.-'l:l~l ~ t&. Pj~one No. Address~hone No Address ~t~fit_~ll~A~ ne No. excess fill be removed from premises ~Y~.~NO Will Sgs. I bt ¢ 5. Is this property within 100 feet of a tidal wetland? *YES NO ~ · IY YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) :OUNTY OF ~-~): ~Jl.~ ["{2~ 6 ~.,~ ~0 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~)He is the P~* ~~ (Contractor, Agent, Corporate Officer, etc.) fsaid owner or owners, and is'duly authorized to perform or have performed the said work and to make and file this application; mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. worn t.~b,~ore me thLs..-. D day or'3 2o *"/ ~ Notary Public PETER Boo'r*H Nota~J Public, State of New York No. 01BO6092004, Suffolk County Term Expires May 12, 2011 --Signat~e df~pplicant N/F IdOPPEI2 TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET "~ "'] ~. VILLAGE DIST. SUB. LOT FORMER oWNER N E AC~.;~ /"'1 S W TYPE OF BUILDING RES. ~ ! c~ SEAS. VL. FARM COMM. LAND IMP. TOTAL DATE REMARKS GIGI~ ~P~ r~l~c~ ~P~ ~o~,3 FRONTAGE ON WATER TILLABLE . FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BUL~EAD HOUSE/LOT TOTAL Extension Patio ~Porch Deck Breezeway Garage P0ol Foundation Basement Ext. Walls Fire Place ~ ~?~ Dormer (~ O~3"' Driveway 15o CRAWL SLAB Bath Floors Interior Finish Heat Woodstove COLOR Dinette Kit. TRIM BR. Fin. B. Attic Rooms 1st Floor Rooms 2nd Floor Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: 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 roquire~[ ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER~ 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.) ~'~ 2. 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? ~L~ 3. 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? I~1 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to r'~ 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 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 within the Town Right-of-Way or road shoulder area? {lhis Rem does not include the installation of driveway aprons.) 8. - Will there be site preparation within the one hundred (100) year floodplain of any watercourse? 1L~ 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 submiffed for review prior to issuance of any building permit. COUNTY OF ............................. SS That I ....... ~.,~ ~r-O [~ ...... ~ ....... being duly sworn, ~¢poses and says that he/she is the applicant for Perm/t, (Name of individual signing Document) And that He/She is the ................ ~ ............................................................................................... (Owne~-'~n~nt, Corporate Officer, etc,) Owner and/or representative of the Owner or Own~w, a'~'~'~--"'"--' 'duly authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. Sworn to before me thi~;/~ Notary Public: ......................... __ ..... of.;Ia _ .................TermP'Ub~l~L ' ' '~' ' f~' f~'New Y°rk I"1= Expires Il=H 20 '(J~7 BOOTH May Suffolk 12, 2011 County ~ x POOL DIMENSIONS 1" LONG WELDS ON SIDE OF PANEL. WELDED TOP & BOttOM AS SHOWN AND COVER OVER WELDS WITH ALUMINUM COATING TYP. PANEL STIFFNER 10-3ZX5/8' SELF DRtLLING SCREWS SPACED ~ 12" D.C. CONCRETE OR WOOD DECK UP TO COPING (BY OTHERS) SLOPED AWAY FROM ~L P~EL STIFFENER (BEYOND) L~G STEEL ~GLE , UNDERWRI~RS CERTIFICA~ ~ ~BPROVED AS NOTED ~ O*~E~ ~.E.~ t~ POOL PLAN ~65-1802 SAM TO ~P~, FOR THE ~OLLOWING tNSPECT~ON~: ~. FOUNDATtON- TWO REQUtRED I FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE {EMENTS OF THE CODES OF NEW ~.~.ONGWELD'YORK STATE. NOT RESPONSIBLE FOR -- ~,~'r~.ALuM~h~l~ OR CONSTRUCTION ERRORS. 20 mil V~NYL LINER STEEL WALL pANEL RUBBER FULCRUM PAD 3/8"-t 6x1' BOLT, NUT, (2)WASHERS 0C: USi WIT, OF(. 2" THICK VERMICULITE AGGREGATE MIX 3/8" REINFORCING ROD ~4~- [~ DIVING BOARD , TYPICAL WALL SECTION AT 'A' FRAME MIN, 2" THICK VERMICULITE AGGREGATE TAMPERED A2 B2 C2 D2 SECTION TO RELIEVE LINER Bo¢.7,?;,,o,¢,¢'" D,A. CORNER CONNE ION I ' -: ~ ' : ~OOL COMPLIES WITH ANSI 5t4, APWNDIX G - _ h.. S DEC / DESIGN IS ACCEPTABLE FOR [ ALL COMMON SOIL CONDITIONS BI DUNRITE POOLS, INC. 3510 VETERANS MEMORIAL HIGHWAY BOHEMIA, NEW YORK t 1718 (631) 585-1618 RECTAGLE I REV. S~ALE N,T.S, JAMES DEERKOSKI, P.E. DATE 260 DEER PATH DRAW NG NUMBER MATTITUCK, NEW YORK 11952 OF