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Home My WebLink About34893-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33982 I~te: 09/29/09 T~IS u~RTIFIES that the building SWIMMING POOL Location of Property: 7165 BRIDGE L~ CUTCHOGUE (ROUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 84 Block 1 Lot 6.5 Subdivision FiledMap No. LOt No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28, 2009 pursuant to which Building Permit No. 34893-Z dated JULY 28, 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 JAMES L & JEAN A ROCCO (OWNER) of the aforesaid building. S~FOLK~)[~rYDBP~{ll~r OF }~J~1~{~l~O%r~-5 N/A E~t'l~{IC3%L C~RTIFICAI~ NO. 1170290 10/03/03 PLUMBERS ~TIFICATION DATED N/A Rev. 1/81 SEP 2 8 2009 BLDG. DEPT. lfOWN OF SOUTHOLD Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ICATION 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 form). 3. Approval o f 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 NewConstmction: ~- ~oo~,)OldorPre-existingBuitding: Location of Property: "7/~.-q' /~/~//) ~c~ Date. (check one) C ca T c /-/ o 3 o cx" House No. Street Owner or Owners of Property: 0-'/ot~ ~ oc J-W/I.O (~{> c c_ Suffolk County Tax Map No 1000, Section O ~ ~/ Subdivision Permit No. 09 V ~ cT 2 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ o2 S'. 00 Date of Permit. Hamlet Block O o O I Lot ~ Filed Map. Lot: a~ ~' - OC~ Applicant: 3--a,~ ~ ¢ + J-c~ {'~o cc o Underwriters Approval: ! 0 - ~ ~ 0 3 Final Certificate: x/( (check one) A~licant gignature 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. 34893 Z Date JULY 28, 2009 Permission is hereby granted to: JAMES L & JEAN A ROCCO 7165 BRIDGE LD~NE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AIq IN-GROUND SWIMMING POOL W/ FENCE TO CODE AS APPLIED FOR. REPLACES EXPIRED BP # 29469 at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated JULY Building Inspector to expire on J~-NUARY 7165 BRIDGE LA CUTCHOGUE Block 0001 Lot No. 006.005 28, 2009 and approved by the 28, 2011. Fee $ 250.00 Au~th6r i zec~ Signature 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. 29469 Z Date JUNE 6, 2003 Permission is hereby granted to: JAMES L & JE~2q A ROCCO CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AM IN-GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 084 pursuant to application dated JUNE 7165 BRIDGE CUTCHOGUE Block 0001 Lot No. 006.005 5, 2003 and approved by the Building Inspector to expire on DECEMBER Fee $ 150.00 6, 2004 . Rev. 5/8/02 ORIGINAL 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 DOUBLE R. CONTR./R. RAGEN ROCCO 165 CADS ST. 7165 BRIDGE LANE W. BABYLON, NY 11704, CUTCHOGUE, NY 11935 Located at 7165 BRIDGE LANE CUTCHOGUE. NY 11935 Application Number: 1170290 Certificate Number:, 1170290 Section:~C[ Block: I. Lot: ~,5" Building Permit: BDC:NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Outside, Pool/Spa, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the Day of 3rd October, 2003. ~Name OTY Rate Rating Circuit Type Appliances and Accessories Pool/Spa Bonding 1 0 Time Clock/Switch 1 0 Panels Wiring and Devices Fixture 1 0 Pool/Spa Receptacle 1 0 20 amp Pool/Spa Switch 1 0 General Purpose Receptacle 1 0 GFCI (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. se~t 1 of 1 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 [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [~FINAL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~'-- 3/~ - c~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION ROUGH PLBG. INSULATION FINAL ~- P FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION REMARKS: PERMIT # USE NO. STREET HAMLET OWNER EXPIRATION HgAL_.~PT. ' 1 1 ' / TOWN OF SOUTHOLD BUILD.IlqiG DEPARTMENT TO'~/N HALL SOUTHOLD, NY 11971 ~ TEL: 765-1802 Examined Approved Disapproved a/c BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey_ Septic Form N.Y.S.D.E.C. ~..Tmstees APPLICATION FOR BUILDING PERMIT Date ~-_ilq ~ 2 ,201~ INSTRUCTIONS 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 on 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 throughout 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 Occupancy 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 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. (Signature of applicant or name, if a corporation) (Mathng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (as on the tax roll or latest deed) (Name and title of corporate officer) Builders License No. C~qL],ff ! -..}-~J__ Plumbers License No. Electricians License No. Other Trade s License No. Location of land on which proposed work will be done: House Number - ~tre~t -- County Tax Map No. 1000 Section Subdivision .~'q - ' ¢4am ) - Hamlet Block t Lot ~, Filed Map No. ~ 3 Q t-D Lot State existing use and occupancy of premises and intended use and occupancy of proposed constm.ctioo: a. Existing use and occupancy O0 ~ ~C~ ~ ! [ ~j t~'tC_ ,_~ ~ tCJ eTD C~e~ b. Intended use and occupancy Ol'h t~ -420 r~ ~ I Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee ,~uu~,~,. ~k-,~ Alteration Other Work ~5~(~ c_~/ ((E[escripUXon) (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 Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front _~ 0_ Rear ~'2- Depth Height Number of Stories 9. Size oflot: Front ]'-~ 0 Rear I~ Depth ~.<~ 8' 'Z-q 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ [~ 13. Will lot be re-graded OF.c) Will excess fill be removed from premises(~ NO 14. Names of Owner of premises ~r. · ~rg. 12_r)r'r ,") Address ~~.~!:~Phone No. Name of Architect ' - - Address ...... '~'~ ~' Phone No Name of Contractor~!~!3tl_4ll(t' t9o01% Address~~hone No~,'~l 'qcl~4.--I -~ O0 NO I..-' 15. Is this property within 100 feet of a tidal wetland? *YES ,, IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 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 ) .~) ~q ~'~ ~---f /'~O C.~c O being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0 (o0 ~ ~ (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 of his knowledge and belief; and that the work will be performed in the mama. er set forth in the appdcation fileu therewith. Sworn to before me this ~. ~[ day of, ~,~ ~-~'~ 2(t~ - - ~l;tary Public'~q .... ~)>'-Signature of App~c~t Christi A. Santulli Notary Public, State of New York No. 01SA5040403. Suffolk County Term Expires ~arch 13, MAP OF PROPErT'{ ~._ ~ ', · ~I "J' L'," '~' ~.-, TOWN OF SOUTHOLg -SUFFOLK COUNTY. N,Y. SURVEYED:/Jp~ Lq, Iq~) ~SCALE: I'~ INCH =O~FEET FINAL: ~I/i~CH 2 , 19B~t /4;?-~C-/- /~,~' TOWN OF SOUTHOLD PROPERTY,=RECORD CARD OWmR STRE~r ~-Y/gxS- v,_~GE D,S*.SUB. FORMER OWNER N E ACR. ~ ~d /~~- ~ ~ W ~PE OF BUILDING ~ES. ~ / () S~S. VL. ~ FARM COMM. CB, MICS. Mkt. Value ~ND IMP. TOTAL DATE _RE~RKS ~. ~~ I I ' 'illebie FRONTAGE ON WATER V~lond FRONTAGE ON ROAD /~ ~eadowla-d DEPTH ~ / louse Plot BULKH~D ota I Extension COLOR Extension TRIM Foundation Basement Ext. Walls Fire Place Type Roof Recreation Room Dormer Rooms 2nd FlOor FIN. B Driveway /~C ~ / BR. Patio O.B. Total Garage Rooms Ist Floor '-~ e ¢ ,Jo I '¢/ ~( '~ '~ : ~'~ ~ ~ ' ~ ~ /'~ k-', Both ~ Dinette Porch /X/,,~ _- ~:;~' , ~5'o ~_~/¢~/ Floors A,/-~.~ K. / Porch ~ ~ Interior Finish ,~, ~, LR. / Breezeway - Heat DR. 05/28/2003 16:27 63136080?9 LPLRISKHGT LTD PAGE 02 'New' York state Iasura ¢e.Fu d 8 COR~RATE CENTER ~R. ~ D FLR, MELVILLE, NEW ~RK 11747~1~ CERTIFICATE OF WOR~RS' COMPENSATION INSU~NCE SIGNATURE POOL DESIGN LLC 14 MICHELLE DRIVE SHOREHAM NY 1.17B6 POUCYHOLDER SIGNATURE POOL DIESIGN LLC 14 MICHELLE DRIVE SHOREHAM NY 11786 · I F~RTIFICATEHOLDER ] TOWN OF $OUTHOLD ] 71-65BRIDGE LANE ICUTHOGUE NY 11935 POLICY NUMBER I CERTIFICATE NUMBER ] PERIOD COVERED BY THIS CERT{FICATE I 1308 g04-O E63725 11~21/2002 TO 11/21/2003 'I DATE THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE iS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1308 904-0 UNTIL 11/21/2003, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS 1N THE STATE OF NEWYORK. EXCEPTAS iNDICATED BELOW, AND, WITH RESPECTTO OPERATIONS OUTSIDE OF NEW YORK. TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY, IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 11/'21/2003 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE. t0 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE G[VEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE EyREGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LiABILiTY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE iS ~SSDED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTtF~CATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICY, NEW YORK STATE INSURANCE FUND OtREC?OR, INSURANCE FUND UNDERWRITING This certifiCate can be validater~ on our web site at https://www, nysif comlcert/cerWal.asp VALIDATION NUMBER: 612924273 U-26.3 "iMMEDIATELY" E N C L O:~-.~ ~,~,~O,k:.T~::~,G(~E (~). ALTCRNAT£ RIM LOCI( COPING NOTE: SLOPE DECK/TE. RRA-T~ ..q~AY FRC~ ~LfN vl~ OF POOL ~ ~=~- - COMPLy WITH CHAPTER "46" L [ UNDERWRITERS - - FLOO~DAMAG_G_E PREVENTION ~, ,~ REQUIRED COMPLY WITH ALL CODES OF ~,~,~.~ ~ ,~.. ,,.~. vv~t ~z~, ~ NEW YORK STATE & TOWN CODES ' AS AS REQUIRED AND CONDIT 0 S 0 .'- VT_ ~~' v, ~/~ , SO~ ~WN ~A ~. L ~ ~ ~ ~E ~~ ' '- ' . ~ /, . -~ FEE: ~/ ~/) ~v: ~x ~ . ~/4' ~.~ ~[~ SO:' H~D,F~ P~NNI~ NOTI~ ~R~~ ~ ~[~' ~0~ ~ON~ ~ ~TH~TEES 7~1~ 8~ TO 4PM 'FOR T~ - , ~z~ ~-~[~ ~G ~SPECTIONS' ' . ,- BOT~ ~NP~ / ~ / ~ . ~ ~RED CONCRETE ~ ~ 7 ~ 2. R~H - FRAMING & PLUMBIN I ~r.~ ~ ~ II X [ COMPLETE FOR C.C. . ~ ~ HO~]Z B~C~ ~ CONSTRUCT~N SH~ ME~ , \ "A" ~ D~TA~L I 5- X 1.5' I 24' - 14 CA. t~}- V ] :~F i) ~/[)2 H. ROY ,/ 7165 Bridge bane 1.5' X 2' X 27~ - 14 CA. REQUIREMENTS OFTHECODESO Cutchogue, NY YORK S~ATE. NOT RESPONSIBL! DES~N OR CONSTRUCT~R~