HomeMy WebLinkAbout34926-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34107
Date: 12/03/09
THIS ~TIFIES that the building IN-GROUND SWIMMING POOL
Location of Property: 3585 ORCHARD ST ORIENT
(HOUSE NO.) (STREET)
County TaxMap NO. 473889 Section 27 Block 2
Subdivision
Filed Map No. Lot No.
(HAMLET)
Lot 2.10
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 12, 2009 pursuant to which
Building Pez~nit No. 34926-Z dated AUGUST 12, 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 MARK F & NANCY FERPJ%RIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTME~TOF HEALTH APPRO%rAL N/A
ELEt-rKICAL C~RTIFICATE NO. 119478C 08/05/08
~L~ERS CERTIFICATION DA'r~u 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
NOV 2 4 2009
BLDG. DEPT.
TOWf~ OF SOUTHOLO
the following:
A. For new building or new use: 1. Final survey of property with accurate location of ail 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 iustallation 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.
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, Additious 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 - $I00.00
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: ~// Old or Pre-existing Building:
Location of Property: 35~ C)Vo~O.~ ~x~_o ~
House No. Street
Owner or Owners of Property: ¥~X~ ~ ~ Ct~q0.'-{
Suffolk County Tax Map No 1000, Section ("3 ~'-~
Subdivision
Health Dept. Approval:
(check one)
0
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ oQ
Bleck 000 ~
Hamlet
(check one)
icant Signature
Final Certificate:
Lot O0
Filed Map. Lot:
Applicant: ~dk (5 '.c~N
Underwriters Approval:
Issue Date
8/5/2008
Electrical Inspection Certificate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 119478C
East Patchogue, New York 11772
(631) 286-6642
Issued To: Mark & Nancy Ferraris
Street: 3585 Orchard Street
Village: Orient Zip: 11957
Section: Block: Lot:
Contractor: North Eastern Electric (L)
Town: Southold
Lic.# 4658-E
Was examined and found to be in compliance with the National Electrical Code
Commercial NV Defects X Pool 1st Floor Indoor
X Residential Det. Garage Attic 2nd Floor X Outdoor
Switches Receptacles Fixtures GFI Heaters
2 1
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
Furnace Oil Gas Circulators Smoke Detector
Me~er Amps Phase UG/OH Jacuzzi Television
Basement Hot Tub
Addition Survey
A/C Fans
Microwaves
Bell Transformer
CO Detector
Bldg. Permit:
Other Equipment
l~Raintight Subpanel/1-Pool Light/%50 amp
Disc./1-20 amp Spec. Outlet/1-Pool Lt.
Hugo S. Surdi
President
Rough Inspection:
l~pector: ' John Mb Mahon
This certificate must not be altered in any manner Inspectors may be identified by their credentials
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
Q.C. ELECTRIC, INC.
PO BOX 518
LAUREL, NY 11948-0518,
NANCY & MARK FERRARIS
3585 ORCHANRD ST
ORIENT, NY 11957
Located at
3585 ORCHAN~RD 8T ORI?NT~ ,~Y 11957
Application Number: 3039832
Certificate Number: 3039832
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:
yard lighting, Outside,
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 ~n compliance therewith on the 2?th Day of July, 2007.
Name QTY Rate Rating Circuit Type
Wiring and Devices
Receptacle 2 0 General Purpose
Switch I 0 General Purpose
Receptacle I 0 GFCI
I oI' 1
This certificate may not be altered in any way and is validated only by the presence of a ra,sed seal at the !ocation indicated.
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)
PER~IT NO. 34926 Z Date AUGUST 12, 2009
Permission is hereby granted to:
MARK & NANCY FERP~ARIS
268 EAKINS ROAD
MANHASSET,NY 11030
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR.THIS
PERMIT REPLACES EXPIRED BP # 32217
at premises located at 3585 ORCHARD ST ORIENT
County Tax Map No. 473889 Section 027 Block 0002 Lot No. 002.010
pursuant to application dated AUGUST 12, 2009 and approved by the
Building Inspector to expire on FEBRUARY 12, 2011.
Fee $ 150.00
Autho~fzed 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. 32217 Z Date JULY 18, 2006
Permission is hereby granted to:
MARK F FERR3tRIS
MANHASSET,NY 11030
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR
at premises located at 3585
County Tax Map No. 473889 Section 027
pursuant to application dated JULY
ORCHARD ST ORIENT
Block 0002 Lot No. 002.010
14, 2006 and approved by the
Building Inspector to expire on JANUARY 18, 2008.
Fee $ 15O.O0 ~~e~..
Rev. 5/8/02
ORIGINAL
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSUL~AT'tO~
[ ] FRAMING / STRAPPING [/~]~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS.'~ ~ ~gL ~Y~
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT_CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS: ~f~ ,,~ ~.~~~ ·
DATE
INSPECTOR//~~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION
ROUGH PLBG.
INSULATION
[~FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined
Approved
Disapproved a~c
Expk~ion
PERMIT NO. ~-~,-~-/~ ~_5
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Hea!th
3 sets of Building Plans
plmmmg Board approval
SurveZ
Check
2 0 6 ~ '~~(~
///~',20 ~' Bm in~Oecktr/ ~
Trustees
Contact:
~Mail to: ~.~I~P/~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date
,20 a~
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 adj oi~fing premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Perm/t.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a perrmt
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
i~sues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not conmaenced 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 ~br 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, housint
authorized inspectors on premises and in building for necessary inspe(~&,NX ~a~,,~~
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~/~IL~- P {'- ~LJ}4/tt~t,I ~/~ ~'~'tt~tl~t.5
(31s 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. /~
Plumbers License No.
Electricians License No.
Other Trade's License No.
House Number Street
County Tax Majp No. 1000 Sect.i~on 0~, O0
Subdivision ~ ~ 7'7 £ ~"~/~ t tO ,'~,~'~ ~
(Name)
Hamlet
Block 0o).Df_.)
Filed Map No.
Lot ~0~' 010
~ Lot "" ;':~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy_
3. Nature of work (check which applicable): New Building
Repair Removal_ Demolition
4. Fee
5.
Estimated Cost ~ f/ox) Fd
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteg~.'on
OtherWork ~Gdlel, t,v~,~,~ i (-~,zvo~
(De~ription)
(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 o£each type of use.
7. 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 Number of Stories
Size of lot: Front
Rear
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
Number of Stories
Rear
Rear
Depth.
Depth.
lgn~ ~licant
Sworr~ t~i~ore me thi~, D
CYNTHIA A. GALLO
NOTARY PUBLIC, State of New
No. 01GA6046451
Oualifled in Suffolk Coun'-,~
~m~miesion Expires Augu~l 14,
12. Does proposed construction violate any zoning Iaw, ordinance or regulation? YES NO_)~ '
13. Will lot be re-graded? YES ~- NO Will excess fill be removed from premises? YES K NO
14. Names of Owner of premises ~a~g4tl/~ ffe,p_/l, q2~ddress$(g~Ott~tHap 5,4 Phone No. ~'-Y-~ - ~'Z.C~
Name of Architect Address Phone No '
Name o f Contractor_,'/71:t-t~wptt, (t~Z.~ A d dr e s s/~[' ~'~'/e~ At t/~ Ph°ne No. ~bL7~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO.,~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED~
b. Is this property withLn 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED. -
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
'~[W ~-. ~t/$r_~>-z 4-v~57 ~t , being duly sworn, deposes and says that rs'he is
(Name of indivi/dual sigr~ng contract) above named, ' t ~ the applicant
(S)He is the 00~_~
(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 true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
.:~ · · TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~ ~' .~ VILLAGE DIST. SUB. LOT I
~ER OWNER N E ACR. J '
S W ~PE OF BUILDIN~
R~. ~j~ S~S. VL,~ FARM CO~. CB. MlCS. Mkt. Value
~ND IMP. TOTAL DATE R~RKS
~lleble FRONTA6E ON WATER
W~lend FRONTAGE ON ROAD
~ ~/~r '" 8 :'~ ~ ~ :' ~' DEPTH
T~I
E×ten~io~n -, eFTO~' Bamment
~,'cu~k~ ~ ~J~ ~,[~ : ~Ttcq ~.~o Floors
' [ ~1~ ) ~' Int. rior Finish
Extens~n , tO % [& }4~ ~ ~ .... Ext. Walls
Extension FirePlace ~r~ Heat
Porch,,,~ ~-m ~¢2' ?'2~ ~ [~ ~:.~ Pool Attic
Deck '~' ~. ~% ~ S~9' Patio Rooms 1~ Floor
Br~zeway ~ ~ XO(~X7 x t~t~ ,~'~ g5 Driv~ay Rooms2nd Floor
Garage ~ X~ z ~ ~7~ 1201
TYPICAL POOL PLAN
'ISLANDIA POOLS
OC ¥.OR
dSE IS UNLAWFUL
WITHOUT CERTIFICATE
OF'OCCUPANCY
!
TYPICAL cJ~O$s SECTION
7654802 8AM TO 4PM FOR THE
~LLOW/NG INSPEcT/o~
u~bo CONCRETE
2. ROUGH. FRAMING & PLUMB/NG
3. INSU~/ION
4. FINAL. CONSTRucTtoN ~
~L CONSTRucTioN SHALL MEET THE
· REQUIREMENTs OF THE CODEs OF NEW
RTi~IC,~RK STATE. NOT RESP ,
U~OERWRI~RSC~ ~StG~ O~ CONsr ..... ONSt~t~ FOR
REQUIRED ~ucuoN ERRORs,
TYPICAL 5'IDE SECTION
N.S.P.I. TABLE OF DIMENSIQNS
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
OPTIONAL STEP
'.NOTES:
ALL CONSTRUCTION SHALL
MEET THE REQUIREMENTS OF THE
CODES OF NEW YORK STATE.
SUt~.Vt=¥ OF LOT IO
"SU~IDIVISION 1,4AP OF: St=TTLt=~S AT O¥STt=t~PONOS''
.SITUA i t-.. ORIENT
TOI~N, 50UTHOLD
.e,UFFOLK COL/NTT, NY
/ / /
N
/
/
/
/
/
/
JOI-IN C. EI-ILERS LAND SURVEYOR
6 EAST MAIIq STREET N,Y.S. [lC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.-\\Compaqserver~m~s~06~06-193a.pro