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Home My WebLink About33258-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34172 Rte: 01/22/10 TI{IS C~I(TIFIES that the building INGROUND SWIMMING POOL Location of Property: 4875 WUNNEWETA RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~[mp No. 473889 Section 111 Block 12 Lot 5.2 Sul~ivision Filed ~ap No. -- Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 13, 2007 purs,,aut to which Building Pezmit No. 33258-Z dated M3kRCH 18, 2008 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 CHARLES DRAKE JR & LISA (OWNER) of the aforesaid building. SI)FFOLK COUN~"g DEPARTMENT OF HE~J~T~ APPROVAL ~.Rt-r~IC~%5 c~'rlFICA~ NO. PLIghtERS u~TIFICATION DAT~U N/A 7654 N/A ~0/20/07 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: 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 of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certil~ing 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. Bo 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. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 130o1 ~25.0..~ Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. e 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 New Construction: Old or Pre-existing Building: Location of Property: ~7'1 ~' MJ t~/'//~ House No. Street Owner or Owners of Property: dh, Lc^ &r ~ , Suffolk County Tax Map No 1000, Section i I I (check one) Hamlet Block Lot 5", ~, Subdivision Permit No. Date of Permit. Filed Map. Applicant: Lot: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request tbr: Temporary Certificate Fee Subnfitted: $ Final Certificate: ~'~"~ (check one) Applicant Signature + 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Raymond Electrical October 20,2007 7654 Certificate No.: Final Inspection Date: Building Permit No.: 7654 October 20,2007 33258 Suffolk County Tax Nap No.: 1000 111 12 5.2 This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Charles and Lisa Drake Site Location: 4875 Wunnewata Rd., Cutchogue, NY 11935 Owner's Address (if different): [] Residential [] indoor ~ Basement I-j] Commercial [] Outdoor [] First Floor [] New [] Renovation [] Second Floor [] Addition [] Survey Other: INVENTORY Single Phase Heat Duplex Recpt Three Phase Hot Water OFCl Recpt 1 Main Panel AC Cond Single Recpt 1 Sub Panel 1-4 c AC Blower Range R~cpt Transformer Appliances Dryer Recpt Disconnect Switc~les 2 Twist LocA GFCl Breaker Heat Pump 1-50 Electric Heat [] Service [] Shed ~ Pool L~. Hottub [] Attic [] Garage Ceiling Fixture HiD Fixtures Wall Fixture Smoke Recessed Fixture CO Detect Flourescent Pumps 1 Emergency Time Clock 1 Exit Fixtures TVSS Pool Luminaire I Exhaust Fan Other Equipment: The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Raymond Electrical Inspected By: Gene Surdi Signature: License No.: $141ME Date Of Certificate: Nov 1t, 2007 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PER~IT NO. 33258 Z Date MOkRCH 18, 2008 Permission is hereby granted to: for : CHARLES & LISA DRAKE PO BOX 191 CUTCHOGUE,NY 11935 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED TO CODE at premises located at 4875 WUNNEWETA RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0012 Lot No. 005.002 pursuant to application dated JULY 13, 2007 and approved by the Building Inspector to expire on SEPTEMBER 18, 2009. Fee $ 250.00 Authorized 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 ROUGH PLBG. INSULATION ~,~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR 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 CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: /~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU~,A.TJON [ ] FRAMING / STRAPPING [/,~I:INAL [ ] FIREPLACE&CHIMNEY [ ] FIRE SA,-,. ~ T' INSPECTION [ ] FmBnm~'r,~'rcoNsTnucnoN [ ] REMARKS: DATE INSPECTOR~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUL~-~2~ [ ] FRAMING / STRAPPING [~]I~A~.~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ! FIRE RESISTANT PENETRATION REMARKS: ~/'/ ~(~/~' ~'~ ~ ~?'~' DATE INSPECTOR ~r~,~r~ INSPECTION REPORT [ DATE FO~ATION (1ST) FO~DATION (2ND) ROUGH ~G & PL~G - ~S~ATION PER N. Y. STATE ENERGY CODE , , 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 Expiration PEmUIT NO. 35 BUILDING PERMIT APPLICATION CI-IECKLIST 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: Phone: W[~ Lt-~IO0 /~Building Inspector , APPLICATION FOR BUILDING PERMIT jUL I $ Date Q' I~oL-O? ,20 INSTRUCTIONS T~cation~MUST be ~ompletely filled in by t~ewritcr or ~n i~ and submitted to thc Building ~spector with 4 sets of plus, accurate plot plan to scale. Fcc according to schedule~ b. Plot plan show~ng location of lot ~d of buildings on premises, relations~p to adjoining premises or p~blic streets or areas, and wate~ays. c. The work covered by this application may not be commenced before issu~ce of Building Pemit. d. Upon approval of this application, the Building ~spector will issue a Building Pemit to the applicant. Such a pemit shall be kept on the premises available for inspection t~oughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu¢ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Evew building pemit shall expire if the work authorized has not co~enced within 12 months ager the date of issu~ce or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~y have been enacted in the interim, the Building ~spector may authorize, in writing, the extension of the pemit for an addition six monks. Therea~er, a new pemit shall be required. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces 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 necessaw inspections. '~ coo , 0GCU PANCY ' ~Signam~ of applicantorname, ifaco~oration) UPON ~PLETION UNDER RSCERTIRCA WITHOUT CERTIFiCAtE (Mailing address of applicant) lessee, ~t~~r, general contractor, electrician, plumber or builder State whether app.~nt is owner, CONSTPUSTION SHALL 0 ~ ME~ THE REQU;;~EMENTS OF THE APPROVED AS NOTED OF NEW YORK SIAl ~. ------ r- -N~ BUILDING OEP~.RTMENT AT I~appIJcm~tisaco~oratJon, si~aturco~~~ ~ 765-1802 8AM TO 4PM FOR THE OF THE TOWN CODE. (Name and title of corporate officer) Builders License No. ~ t lq I ,~. 14 Plumbers License No. Electricians License No. .~iOr I ~ Other Tradds License No. 1. Location of land on which proposed work will be done: q- ,3,5 BJ a n n.,'ou t House Number Street FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETB 2. ROUGH - FRAM',NG & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW tE. NOT RESPONSIBLE FOR ~I~:~RUCTION ERRORS. Hamlet County Tax Ma~ No. 1000 Section I I I Block . Subdivision ~0,S~o-cx-~'~o t ~. 4- Filed Map No. (Name) Lot ~-~' ~ Lot 3. Nature of work (check which applicable): New Building Repair Removal Demolition State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~--~i~q ~"d 'e--q'g-'¥~dt4 (47,5d~116[ - b. Intended use and occupancy__ ~,0t, ttl~ ~ O/ Addition Alteration Other Work 4. Estimated Cost'~ I~,,])O0 ~' 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (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 Rear Depth 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? YES NO ,/ 13. Will lot be re-graded? YES ~"'~,IO Will excess fill be removed from premises? YES __ NO ''/ . . 6o qzh 14. Names ofOwner ofpremiseo~,htl(l/%~)f&['¢ Address qSO5 ~JanrltaJl'~Eone No. NameofArchitect ~(4-O.3Or¥15,~th'h Address II~ t-t~c~-¥4'~/9~-- PhoneNo Nmne of Contractor' kKaMq'l- k't tclte."- Address olql ~d'e ?_~ PhoneNo. '~qq- 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 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 ;~r below must pro:dee tOpographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) '" ~, 2b)~ " r~"l- ._ (~ing~duly sworn, de~ses and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the , . · c;~c". ate Offw~; ~:) (Contractor, Agent, Co¢or ~ '~ * ':. 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. Sworn to.before me this ~ , 1Q~124124 Signature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: District Section S.Cff. M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ ~ ,~. STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN B~ock Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? Yes N._~o 2 3 4 5 6 7 8 9 (This item will include all mn-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIow! 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? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15)feet of Ver[ical Rise to One Hundred (100') of Horizontal Distance? Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right-of-way? Will this Project 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? (This item will NOT include the Installation of Driveway Aprons.) Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercoume? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mank In the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION: Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Requlredl -- -- STATE OF NEW YORK, ~-,. ~OUNTY OF .......................................... SS That I ........ .~...N.~.~...~...t~....~....~ ................ bch~g duly sworn, deP°ses-- and says that he/she is the apphcant for Permit, (Name of individual signing Document) And that he/she is the ........... ff,.j~'*~..~.....C?..! ..................................................................... Owner and/or representative of the Owner of Owner's, 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 U'ue to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ~~ .................. ~ ':' ·: :i ~" ' .(~ · ~'"~" '!' "~'* ........ ;; .......... ~0.,.0.,~'- ,,...,,~,~ [,~,.., , .~..~ (S,gn lure of Appl,canO ....... s,~_TOWN OF SOUTHOLD PROPERTY RECORD CARD / o ,~ o ~ /11-1~ OWNER !STREET VILLAGE DIST.' ~UB. LOT~/~ '~/F~i~ FORMER OWNER N E "'/ ACR.~ ~,~ C~ ~O ~la~ FRONTAGE ON ROAD ~ DE~H ~ P~ BULKH~D 111.-12-5.2 4/07 Exter~ion Extensio~ Extension Pokh Patio O. B. T~al 1772t~ ~ Foundation Ext. Walls Fire Place Type Roof Recreation Room Bath Floors K. Interior Finish LJ~ Heat Rooms Ist Floor Rooms 2nd Floor DR. Driveway LO,_~ TRIM I0' 40' 15' rq () ~-: () 1'0 flbl~ F~OM fll.~ u~lo ~lbl~ AND Pb~P P~N o, PLUMBING SCHEMATIC CASTdH-PtAC~ CQNC, ST~PS SECT[ON A SECTION B NOTES WAI~ 1.~ ~ __, WALL SE~ON 5-28-O3 SURVEY OF LOTS 132 & 133 AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PROPERTIES, INC. FILE No. 156 FILED AUGUST 16, 1922 TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~'~ S.C. TAX No. 1000-111-12-5.2 . ~ THIS PROPERTY iS SHOWN AS LOT 1 ON MAP OF HUENE ESTATE. m ~E · V~U~ roUE co~'r TD THE A~ ~ OF THE ~ENDING ~N~-- PHONE (651)727-2090 Fax (631)727-1727 AND/OR r~SEMENTS OF RECORD, IF 322 RO~OKE A~UE P,O* BoX' 1931. ANY. NOT ~HOWH ARE NOT GUARANTEED. RI~RH~D, NeW York 1~901 Riverhe~d, New YoA