HomeMy WebLinkAbout34855-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33845
Date: 07/23/09
THIS CERTIFIES that the building SWIMMING POOL
Location of Prc~erty: 480 KOUROS RD NEW SUFFOLK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 117 Block 6 Lot 19.3
subdivision Filed Map NO. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 13, 2009 pursuant to which
Building Pel~nit No. 34855-Z dated JULY 13, 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.
·"ne certificate is issued to ERIKA SHAPIRO
of the aforesaid building.
(OWNER)
S~FPT)LK CO~DEPAR~ OFBF~%LTHAPPRO%5%L N/A
BI~C'~RIC3%L C~RTIFICATH NO. 7532 04/09/07
~BEP~ c~KTIFICATION DA'r~u3 N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
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:
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 for~n).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in 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 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 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.
C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations 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 Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Property:
House No.
Owner or Owners of Property:
Suflblk County Tax Map No 1000, Section
Subdivision
Permit No. '-~
Health Dept. Approval:
Old or Pre-existing Building: (check one)
Street
,
Filed Map.
Date of Permit. Applicant:
Underwriters Approval:
Hamlet
Lot I~.~
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ t~, O'~
Final Certificate:
(check one)
Applicant Signature
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. 34855 Z Date JULY 13, 2009
Permission is hereby granted to:
GIL & ERIKA SHAPIRO
113 WEST 77TR STREET APT 3
NEW YORK, NY 10024
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN REQUIRED REAR YARD
FENCED TO CODE. REPLACES EXPIRED BP # 32576
at premises located at 480 KOUROS RD
County Tax Map No. 473889 Section 117
purs,,~nt to application dated JULY
Building Inspector to expire on JANUARY
NEW SUFFOLK
Block 0006 Lot No. 019.003
13, 2009 a~d approved by the
13, 2011.
Fee $ 150.00
/~ u~zed S~i ~r.~at ufe
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. 32576 Z Date DECEMBER 15, 2006
Permission is hereby granted to:
GIL SHAPIRO
480 KOUROS ROAD
NEW SUFFOLK,NY 11956
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE
at premises located at
County Tax Map No. 473889 Section 117
pursuant to application dated DECEMBER
Building Inspector to expire on JT/NE
480 KOUROS RD NEW SUFFOLK
Block 0006 Lot No. 019.003
7, 2006 and approved by the
15, 2008.
Fee $ 150.00
hori z~d Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
~X~FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE
INSPECTOR -/~r-. ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FIRE RESISTANT CONSTRUCTION [
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ]INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
, , , __
, ~
FO~ATION (1ST) ~
~O~A~ON (2~) ~ ~
. ROUGH ~G & q
PL~G
8TA~ ~R~ ~ODE
~D~ION~ COUNTS ~
" ~
BUILDING DEPARTMENT
TOWN HALL ~[~
SOUTH, pLD, NY 11971
TEL:. 705-1802
Approved /4// ~ 90 ~
Disapproved a/c
PERMIT NO. ~ ~- 26 ~
~UmDLNU P~KIVlIi AYPLiCAflUN CHECK%IS
Do you have or need the following, before applying
Board of Health
3 sets of Building Plans
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
,2001o
a. This application MUST be completely filled in by typewriter 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 buildings en'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 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 throughogt'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 cfa Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, SuffolklCo{~nty, New York, and other applicable Laws, Ordinances or
Regulations, for the cbnstmction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to coinply with all applicable laws, ordinan6?, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
{~EoO[~ED . x~"~i ture o. ffapplicant off name, if a corporation)
MEE~ THE REQUIFIEMENTS OF TFTff"v' "-'; J" ' """ v'
' ' : - (M'ailing'a~dr'ss of'pplicanti't''J - ~'
CODES OF NEW YORK STATE.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of pi'emises
- ~a~ on [l~e tax roll or latest d~'~l~"--~':~~-'~' '
If n, signature ofd~y authorized o.f~c, er t: .....['; '--[ I : : :: : :: ~ ; T'~::I~T AT
L
--~e%d ~of OCCUPA OR
co~orate office~) 1. FOUNDATION - TWO REQUIRED
USE
FOR POURED CONCRETE
Builders License No. ~~ IS UN WFUL 2. ROUGH-FRAbIING & PLUMBING
P .mb rs WlTHOOT CERTIFICATe;
FINAL - CONSIRUCTION MUSI
Elec~cians LicenseNo. ~
- ~4~LL MEET THE
' REQUIREMEr 3'0 OF THE CODES OF NEW
Otbc~ ~adc's LJccosc No. . YORK STATE, NOT RESPOHSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
l. LocaiEn of land o~ w~ich proposed work ~i]l be dooc:
House Number Street
coont s p o.]ooo soo, o, 117 , . lo k Lot Iq.3
Subdivision Filed Map No. Lot
!. State existing use and °ccupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy. ~ ,~>~-~.D./~-~.1..o~
b. Intended use and occupancy
I. Nature of work (check which applicable): New Building Addition Alteration
Repair _ Removal Demolition Other Work'~--to6~u.t.~
I{~) (Description)
L Estimated Cost ' ~ Fee
(to be paid on filing this application)
; If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear Depth
Height_ Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height_
Dimensions of entire new construction: Front
Height
Size of lot: Front
0. Date of Purchase
Number of Stories
Rear
Name of Former Owner
Number of Stories
Rear Depth.
Depth.
Rear
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 L~.~ . Will excess fill be removed fi.om premises'~'~-~ NO
4 Names of Owner ,-' . ~' -- .t,, .~ 13
'Na ..... ?~em~s~t~ Ad&ess~~ ~, Ph~eSo. 917-
me o~ ~cm~ecr ~ 11~ Ad~ess~ ~ ~'~ne No
Name ofContractor~ ~ *~ -,. ,~ -, ~.~ _
5. Is this prope~y within 100 feet of a tidal wetl~d? *YES ~ ~ ' NO
· · YES, SOUTHOLD TO~ TRUSTEES PE~ITS MKY BB~Q~D ~''
6. Provide su~ey, to scale, with accurate foundation pl~ and distancesr~ prope~y lines.
7. If eIevation at any point on propeay is at 10 feet or below, must provide topo~aphical data on su~ey.
~L .~J~ being duly sworn, deposes and says that (s)he is the applicant
~ame of individua] si~{ng con~a;;)~ve named,
¢)He is the
(Con,actor, Agent, CO~orate OTficer, etc/J ~ '
smd o~er or owmers, and is duly authorized to ~o~ or have Perfo~ ~c, said work and to ~ke and file this application;
mt all statements contained in this application ~E ~ to the b~st of his ~oWledge and belief; and that the work will be
erfomed in the manner set fo~h in the applica~iofi fi]ed therewith.
worn
Core me this
day of ~
Signature of Appli}~ant
PETER BOOTH
Notary Public, State of New York
No. 01BO6092004, Suffolk County
Term E>'r)i~'o-~ ,Ma' ~2 2007
'C
TOWN OF SOUTHOLD PROPERTY RECORD CARD
~-//7- ~ -/~.~3
OWNER STREET ~7/~' !~,~ VILLAGE U!ST__~.------------SUB'
FORMER O~NE~.~b b~ . E ACR. J
rES. ~ ~ O S~S. VL. FARM CO~. CB. MICS. Mkt. Value
~ND IMP. TOTAL DATE R~RKS
'illoble FRONTAGE ON WATER
f~land FRONTAGE ON ROAD
%odowl~d DEPTH
louse Plot BU LKH~D
oral
COLOR
TRIM
Xtension
3 F~'
Z---- /3
Foundation
Ext. Wails
Fire Place
Type Roof
Recreation Room
Dorrll~e r
Bath
Floors
Interior Finish
Heot
Rooms 1st Floor
Rooms 2nd Floor
Driveway
Dinette
LR.
DR.
BR.
FIN. B
~_/~,? OF SOUTHOLD PROPERTY RECORD CARD .-~..~
OWNER STREET VILLAGE DIST. SUB. LOT
~ ACR.
FOYER OWNER N ~,,, s Z/ E U~ ~;C ~
S W ~PE OF BUILDING
RES. ~// S~S. VL. ~ FARM CO~. CB. MICS. Mkt. Value
~ND IMP. TOTAL DATE RE~RKS
/ ·
Tillable FRONTAGE ON WATER
N~land FRONTAGE ON ROAD
~eodowlond DEPTH
~ouse Plot BULKH~D
:otol
COLOR
TRIM
M. Bldg:
Extension
Extension
Extension
Porch
Porch
Breezeway
Garage
Foundation
Basement
Ext. Walls
Fire Place
Bath
Floors
Interior Finish
Heat
Type Roof
Dine~e
LR.
DR.
Rooms 1st Floor
Patio Recreation Room
O.B. Dormer Driveway
Total
Rooms 2nd Floor
BR.
04/Z8/06
1Z:45 FA~ 516478677~ HCC$.__ /~2.~d~.-7...~oo,~.,,
POOL DIMENSIONS
I ~~'x~ ~z~ 4'~'a'-~' '~'~'-o' ~'~ ~'-a~ '-ce~'~'i~'-3'~'~ e-~'~' ~ ~-~ ~ ~.os~~
~ 16X~ l~-~'a'~'-0' 8'~' 13~' 6'-3'~'-0'?-0' 8'-3"k*-0~ 7~' ~ 14'-10' ~'-1,3~' ~ 1B~7~
i3o-e-~'o-a'~'~'-s'~'l~-=o-a~W~'~'~'~r.a'W~' ~'-=-~e' ~s'-~/~~ ~'
TYP. PANEL STIFFNER
POOL PLAN
TYPICAL WALL SECTION AT 'A' FRAME
C2
MIN. 2" THICK VERMICULITE
AGGREGATE TAMPERED
D2
CORNER CONNECTION DETAIL
DIVING BOARD
N.T.S.
DUNRITE POOLS, INC.
3510 VETERANS MEMORIAL HIGHWAY
BOHEMIA, NEW YORK 11718
(631) 585-1618
POOL TYPE: KIDNEY I REV,
SCALE N.T.S.
DATE
DRAWING NUMBER
OF
JAMES DEERKOSKI, P,E.
260 DEER PATH
MATDITUCK, NEW YORK 11952
Nassau Suffolk Electrical Inspections, Inc.
505-C Lincoln St * Riverhead, New York 11901 * Tel: 631-813-2890 * Fax: 631-813-2891
Application: 7532 Date:4/9/07
Issued to: Shapiro
Address: 480 Kourose Rd
Village: New Suffolk Introduced By::Bethel Electric Inc.
License#:2880-ME
was examined and approved up to the above date and was in compliance with the NEC
Switches Receptacles Fixtures G.F.I. Tim eclock Salt Generator
3 3 1 1 1 1
Oven Carbon
Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide
Bell
Furnace Oil Gas Heat Zones Whirlpool Transformers
Meter Amps Phase Motors
3
Other Equipment; lnground Pool
Out,Res
This certificate must not be altered
in any manner
Section: 117 Block: 06 Lot:19.3