HomeMy WebLinkAbout34781-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33829
~te: 07/15/09
THIS CERTIFIES that the building SWIMMING POOL
Location of Property: 345 TASKER LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 33 Block 4
Subdivision
Filed Map No. Lot NO. __
GREENPORT
Lot 22
(HA~4LET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 15, 2009 pursuant to which
Building Permit No. 34781-Z dated JUNE 15, 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 MICHAEL PHILLIPS
( OWNER )
of the aforesaid building.
S~IFFOLKCOUN~"fDEPARTMENTOFHEALTHAPPRO~-AL N/A
ELRt-rKICAL CERTIFICATE NO. 109435C 06/22/06
PLUMBERS CERTIFICATION I~r~u N/A
tho~zed Signature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTDICATE OF-O(
This application must be filled in by typewriter or ink and submitted to the Bui
I,AAY
:UP,1,NCY
BLDG. DEPT.
ng
A. For new building or new use: 1. Final survey of property with accurate location of all buildings, pwperO] liaes~ st~eet~, and unusual natural or
topographic features.
2. Fin~! Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation l~omBoard of Fire Undeanvriters.
4. Sworn statement from plumber eerfifyiag that the solder used ia system contains less than 2/10 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 Planning Board Approval of completed site plan requi~ments,
For existing buildings (prior to April 9, 1957) non-ennforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streetZ, building and.unusual 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.
~ Certificate~oXOcc~ancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
~ccessory building $25.00; Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Oecupancy 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 $15.00
New Construction:
Location of Property:
Date.
~ Old or Pre-existing Building: (cheek one)
House No. S~t H~let
OwaerorOwnersofProperty: ~< C-~(~_~ g~'X; l~(p ~
Suffolk County Tax Map No 1000, Sectio~ ~-~ ~ Block
Subdivision
]
Permit No. ~ Date of Permit.
Filed Map.
Applicant:
Health Dept. Approval:
Underwriters Approval:
Planning' Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
/
Final Certificate: , V (check one) /7
Applicant Signature
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application
375 Dunton Avenue 1094350
East Patchogue, New York 11772
(631) 286-6642
Issued To: Ms. Maria Phillips
Street: 345 Tasker Lane
Village: Greenpod Zip: 11944
Section: 33 Block: 4 Lot: 22
Town: Southold
~-Contractor:-Graat ~ Ele~ConL- htc: .....
Was examined and found to be in compliance with the National Elect~cst Code.
[] Commercial [] NVDefect~ [] Pool [] tstFIoor [] Indoor [] Basement [] HotTub
[] Residential [] DeL Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters A/C Fans
1 2
Dishwasher Washer/Amps Dryer/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
Pool Heater, Pool Panel, Time Clock
Hugo-S: Surch
President
Rough Inspects:
Final ~tspecflon: 06/21/2006
Ins~::for: Dennis Bmndi
This ceflificete must not be altered in any manner. Inspectors may be identified by their cmdentiots.
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. 34781 Z Date JUNE 15, 2009
Permission is hereby granted to:
for :
MICHAEL PHILLIPS
7 SHADY MEADOWS LANE
SYOSSET,NY 11791
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE
REQUIRED REAR YARD,FENCED TO CODE.REPLACES EXPIRED BP # 32032
at premises located at 345 TASKER LA GREENPORT
County Tax Map No. 473889 Section 033 Block 0004 Lot No. 022
pursuant to application dated JUNE 15, 2009 and approved by the
Building Inspector to expire on DECEMBER 15, 2010.
Fee $ 250.00
Authb~ri-~ed Signature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32032 Z
Date MAY 23, 2006
Permission is hereby granted to: ~]~1~
/~2¥R-~PHILLIPS
345 TASKER LANE
GREENPORT,NY 11944
for :
CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL IN THE
REQUIRED REAR YARD, FENCED TO CODE
at premises located at 345 TASKER LA
County Tax Map No. 473889 Section 033 Block
pursuant to application dated MAY 17, 2006
Building Inspector to expire on NOVEMBER 23,
GREENPORT
0004 Lot No. 022
and approved by the
2007.
Fee $ 150.00
Authorized 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 ~UCTION [ ]FIRE RESISTANT PENETRATION
REMARKS: f~O~ ~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-t802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~LBG.
[ ] FOUNDATION 2ND [ ] I/NSULATION
[ ] FRAMING / STRAPPING [ ,,/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETI~A~ TION
RE. MARKS: ~ L //~~
DATE
INSPECTOR~?~
I~'I~-;LD INSPE .,~'.,IIONREPORT [ DA~ [ CO~S 'l,x
FO~DAnON (1ST) ~ ~
FOU~ATION (2~) -
ROUGH F~G & ~1 m
PL~G-~ ~
~S~ATION PER N.Y. ~
STA~ E~RGY CODE
~.~ -~ ~ / /~. ~ ~
~D~ON~ COUNTS ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~;~TO~ ~L
SOUTtIOLD, NY
TEL: (631) 765-1802
FAX: (631) 765-9502
WWW. northfork.net/Southold/
Examined
Approved
Disapproved a/c
Expiration
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.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
--/f~nspector
APPLICATION FOR BUILDING PE~IT
-. - ~ Date
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 prc.:zises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced bcf~.e issuance of Building Permit.
d. Upon approval of this application, the BAlding I~s/~ctor w:ll iss,e a Eui'dir_g Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughow 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 ha, 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, Saffoik County, New York, a,d other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or altemt;ons or for removal or demnlition as herein described. The
apphcant agrees to comply wnh all ap)Ii_cable laws, or&nances; building code, heuq% :.dc, and regulations, and to admit
authorized inspectors on premises an~F~5~O~s~inspections.
"IMMEDIATELY" USE IS UNLAWFUL .
ENCLOSE POOL,TO CODE WITHOUT~,.~r-.F1 ll",l~ ~ ~.)/'q~'r3-r/,.l~... a.r- (Sig~tur¢ of applicant or name. ifa corporation)
UPON COMPLETION
BEFORE "WATER'
OF OCOUP / -:h,rm s
ALL CONSTRUCTION SHALL (Mailing address of applicant)
~[~i~f~I~)~e'[,H~_!l~][~, ~h~c~,Eer'h~[l[q~),F~eneral contractor, electrician, plumber or builder
CODES OF NEWYORK STATE,PURSI' RSUANT TO SECTION 45-10C ' UNDEJ~ffiCI~t]S C/~TIRCAT~:
~~"¢Z_,t.., OF THE TOWN CODE. APPRO lt _ OTED
Nameofownerofpremises /t~ZJ"It3,_ /z::)/'l tt//I/O $ DATE ~/~- ~/~ r..?,#.
' fAs oc the tax roll or ~--~[~cl~e4/~
If app~t isa corl~ion, signature o+'duly authorized officer NOTIFY ~.DING DE~/qTMENT AT
F
~,/'(Nmne a~t[tle of corporate officer) 00W,t~,_ ;SPECTIONS:
1 FOoNDAT~, ~N
~lmbe~ License ~o.
Electricians License No.
Other Trade s License No.
1. Location of land on which proposed work will be
House Number Street
4. FINAL - CONST,;UCTION MUST
BE COMPLETE :: 3R C.O.
ALL CONSTROCTION SHALL MEET THE
REQUIREMENTS OF THE CO9[~ OF NEW
-.Y. QllK. ST.~T~- NOT RESPONSIBLE FOR
.........
County Tax Map No. 1000 Section
Subdivision ~fl.Sft~P4xl
(Name)
Lot 22..
Lot 0'" I
State existing use and okupancy of premises and intended use and
a. Existing ase and occupancy
occupancy of proposed construction:
b. Intended use and occupaacy I ~q)/o~t~-St,~l~n.~,~rO o [
3. Nature of work (check which applicableS,: New Building_
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work \u~i.woo~
(Description)
Fee ~1150
(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
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Size of lot: Front IO0, O0 Rear too. 5 q .Depth
10. Date of pUrchase
Name ot Former Owc:.i
I 1. Zone or use district in which premises a, e 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 v/NO__
14. Names of Owner ofpremises}f~r/~.mo'~ 'Address 5~ T,~t~l(b~P- ~ Phone N~..~lt~)4
N~e of Architect ~.,. ,. Address Phone No
N~e of Con-actor ~T~ Address ~ ~ ~-~hone No.
15 a. Is this prope~y within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this prope~y within 300 feet ora tidal wetl~d? * YES NO ~ ~ :~& ~
* IF YES, D.E.C. PE~ITS MAY BE REQUIRED. ~ ~,' ~. ~
16. Provide su~ey, to scale, with accurate foundation plan a~d d~stances to proOe~y lin~s.
17. If elevation at ~y point on prope~y is at 10 feet or below, must provide topo~aphical data on s~ey.
STATE OF NEW YORK)
SS: -
COUNTY OF~
(Name of individual signing contract) above named.
(S)He is the ~'~
- ~ [ (Contractor, Agent, Corporate Officer, etc.)
__ being duly sworn, depos,s and says that (s)he is the applicant
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
hat all statements contained in this application are tree to the best of his knowledge and belief;rand that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
]'~ dayof ~IIM 20 0 (4 I .~., ~.... ,
' [ - No~lic ~ignature of Applicant
f A~ ~E [ HI,',; D'I(A. WING Wl'.r'l.! R f'.'GARi} TO SIZE, DI:,PTH AND ST~P PLA(.'EMENT FOR .)NS'iALI,,^'I'ION AT MY
RESIDtiNCE LOCATEr) AT ".
04~ 18' x43' x32' Pool
_T'
467 Miller Place Road, Miller Place, NY 11764
Phone: 631-928-2693 *** FAX: 631-928-2785
[ TYPICAL
(5) PLACES
20'
/])ETAIL-A
MANDATGRY ROPE AN])
10' FLOAT 12 INCHES FROM · I
J SLOPE CHANGE
FINISHED
DEPTH
I .1
3'-4~- [ 3-6' PANEL
HEIGHT
! !
18'
WARNING!
SWIMMIN~ POOLS ARE DANGERnus WHEN USED IMPROPERLY
CONSULT YOUR DEALER FOR SAFETY INFORMATION ON THE'
SAFE USE OF SWIMMING POOLS. IT IS THE RESPONSIBILITv
OF TOWN OFFICIALS, BUILDERS AN]) HOMEOWNERS -0 FOLLOW[
ALL SAFETY RECOMMENDATIONS DF N.S.P.I,, ALL LDCA~
ORDINANCES AND EQUIPMENT MANUFACTURERS.
DIVING BOARD SPECIFICATIONS
MAX. LENGTH DIVING BOARD
JUMP BOARD 6'
~TIP OF DIVING BOARD
'1 IT-7' ^TERLINE
~O~ TYPE II 4-0'
~4 ~ DEEP END SLOPE
· NOTES: .mc m m ~ ~ ~,*u.*~
1) THIS IS A TYPE II POOL. DEPTH AND SHAPE DF PDDL
MEETS MINIMUM STANDARDS DF THE INTERNATIONAL
RESIDENTIAL CODE 8000 AGIO3,1 (ANSI/NSPI-5 ~995) AND
BOCA 1996 FOR RESIDENTIAL USE WITH DIVING BOARD.
8) ALL A-FRAME BRACES WILL BE MOUNDED WITH
A MINIMUM OF (1> CUBIC FOOT DF CONCRETE, OR A
6' POURED CONTINUOUS CONCRETE PERIMETER COLLAR,
3> MAXIMUM DIVING BOARD LENGTH IS 8 FEET.
4) 'ND DIVINGC LABELS MUST BE INSTALLED AROUND
SHALLOW END OF POOL.
DETAIL-A
I'Xl'X45/45 REVERSE
90 DEGREE CORNER
INTERPOOL
~0' X 30' X 4~' TRUE-L WITH
8' STRAIGHT FIBERGLASS STEP
DATE~ 09/16/03 SCA~LE: NONE
DRAWN BY: P.T, ACADREF;SDTL204~F