HomeMy WebLinkAbout35239-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Yo
CERTIFICATE OF OCCUPANCY
No: Z-34159
Date: 01/08/10
THIS c~KTIFIES that the building IN-GRD SWIPING POOL
Location of Property: 2705 BRIDGE LA
CUTCHOGUE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 85 Block 2 Lot 1.3
Filed Map No. __ Lot No. __
Subdivision
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 28, 2009 purs,,ant to which
Building Perm/t No. 35239-Z dated DECEMBER 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 RALPH & PATRICIA PUGLIESE
(OWNER)
of the aforesaid building.
S~FFOLKCOUNTYDEPARTMENTOF BEALTHAPPROVAL N/A
ELEcrKICAL CE~TIFICATH NO. 8131 06/09/95
PLIERS CERTIFICATION DA'r~u N/A
~A/hor>ed~ S~i nature
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
765-1802 __
· 8 2010
This ,application must be filled in by typewriter or mk and submitted to the Building )epa~ent with the followinr:
BLDG. OEPf.
A. For new building or new use: T0wr~ 0P $01ffH0tl}, ,
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual ~ .......cz
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 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 thereibr 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. {2./ "&T / O~
New Construction: ,-~ Old or Pre-existing Building: (check one)
Location of Property: 2 76/) ~ /~/~/6'1/~ e' /5"~ C/d ~t ~.~Swj ~
House No. Street Hamlet
OwnerorOwnersofProperty: /~¢c/l,0./3 'T /~idt,~ /b',~//~.%¢
Suffolk County Tax Map No l000, Section ~',~ Block c~ Lot /..~
Subdivision
Permit No. ,~.~ ~- ~
Health Dept. Approval:
Date of Permit.
Filed Map.
/o/- o~ ~' 6~'~ Applicant:
Underwriters Approval:
Lot:
Planning Board Approval:
Request for: Te~nporary Certificate
Fee Submitted: $ ~ ~ ·/~
Final Certificate: (check one)
Applic~ Signature
(516) 286-6642 ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
EAST P ATCHOGUE, NEW Y ORKI1772
81.3!
APPLICATION NO. ON FILE
DATE: 6-9-95
ADDRESS: 270.5 Br'idqo Lane VILLAGE: C~.tchoc. lue TOWN: Southold
ISSUED TO: Pug'liese
INTRODUCED BY: Hm'~: ' s !~lectric LIC. NO. 2675-E
AREAS LISTED WERE INSPECTED ON: 6-9-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE
NATIONAL ELECTRICAL CODE.
LOCATION: xx BASE
OUTSIDE, RES.
2 SWITCHES
1 RECEPTACLE
1 FIXTURE/OUTLET
1 GFI
1-20AMP SPEC.
SERVICE DISCONNECT
--.1 ST 2ND __.3 RD __ATTIC 2oc .POOL
METERS AMPS ] PHASE
1-20AMP TIME CLOCK
THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS.
HUGO S. SURDI
PRESIDENT
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~JING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35239 Z Date DECEMBER 28, 2009
Permission is hereby granted to:
RALPH & PATRICIA PUGLIESE
2705 BRIDGE LA
CUTCHOGUE,NY 11935
for :
INSTALL AN ACCESSORY IN-GROUND SWIMMING POOL WITH FENCE ENCLOSURE
AS APPLIED FOR. THIS PERMIT REPLACES EXP. BP # 22687
at premises located at
County Tax Map No. 473889 Section 085
pursuant to application dated DECEMBER
Building Inspector to expire on JUNE
2705 BRIDGE LA CUTCHOGUE
Block 0002 Lot No. 001.003
28, 2009 and approved by the
28, 2011.
Fee $ 250.00
ORIGINAL
Rev. 5/8/02
N_o 22687 Z
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN KN.L
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLEtiON OF THE ~DRK AUTHORIZED)
Permission is hereby granted to: ~ /) . . .~ ,
,_~,~ ~,,,'~,~..,,- .~.~.~.....~~....~<~......~./.,..~.-,-,~
..~.....~~ ........ ~~c.~ ....... ~; ......... ~~ ........
a, prem,~e,,o¢o,eda, ............. .~?.~ ........ ~.~.....~ ...........................................
C~nNTax Map No. lO00 S~tion.,~ ............ Bilk ...... ~ ........... Lot No ...... ~.~ ...........
pursuant to application dat~ ....... ~~......~ .......... 19...~ and approv~ by~e
Building Inspector.
Fee $....~..~: ..........
Rev. 6/30/80
ROUGH FRAME &
PLUMBING
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]RRB RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]~ON
[ ~ FINAL
[ ] FIRE SAr.., 1~ INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~--~'-~
DATE INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS~[.ATION
[ ] FRAMING / sTRApPING [//,3'~FINAL/-
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAr-,, 1~ INSPECTION
[ ] FIRE REgSTANT C4X4Smuc'n~ [ ] F~RE RESIn'ANT PENETRATI0N
REMARKS:
DATE ~ INSPECTOR
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. 1 SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SEPTIC FORH ............. :
Exam in ed ..... "~' '~7 ....
Approved ..... .~//. y~.. ....
Disapproved a/c .....................................
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
i', 1~.~.' Permit No...~..~.C
NOTIFY ~..~. ~.
CALL ..............
MAIL TO:
~l~u~fldin/g Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
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 street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
cation.
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 issued a Building Permit to the applicant. Such perm
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 whatever until a Certificate of Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tk
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances (
Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe(
The applicant agrees to comply with all applicable laws, ordinances, building_code, housing code, and regulations, and t
admit authorized inspectors on premises and in building for necessary inspecJ, i~s. --
,. .......
~2)\ ~' I ~ ~ ~,r~. [G~ ¢~:~5 ~.~ (~.~t.~r.~.~.~iofint' or name, if a corporation)
............. ~...~-~_x~..~.~ ~ ....
(Mailing address of applicant) I Ir~"L~'
State whether applicant is owner, lessee, agent, ~rchitect, engineer, general contractor, electrician, plumber or builde
.... ~.T~..~. .... ~ o~o ~.~. ................................
Name of owner of premises.,e'~ -- .¢1-~ ~t~. ~. ,,-r"-,.r..~/O.OI .[i,o__,.~...,.~_~ ..........................................
"/ (as on the tax roll or latest deed)
If applican~is a corporation, signature of duly authorized officer.
"' '~' '~ title of corporate officer)
AL~L .,C,ON, T,R.~/~_OR'S MUST BE SUF .F...~LK COUNTY LICENSED Builder s License No...~/-I- .~ ~ ~ .11~.1 .......
Plumber's License No ..... ~' 'l .Iq'.
Electrician's License No .... ~..(~.~...~'....~.. ....
Other Trade's License No ..... ~¢ ...........
Location of land on which proposed work will be done .................................................
~, ~s .... r3.~.,.4~.~., ~.,.~ .... .Co..~.~,ko~,~,'~" .... V"4;;,;li;/H ........... ~ ...........
House N'um betStreet
County Tax Map No. 1000 Section .... 0..~'.~. ........ Block C) O'~- ... Lot. .C~O. I, ........
Subdivision ..................................... Filed Map No ............... Lot .............. '
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy....~.t.v%O[.[~....~.dc~,x~ .1~..h¢O.~>-~¢-~....~...~)~ .z¥. ~. g .........
b. Intended use and occupancy ~C>.'~. ~.~' .... L,.~.r~...I..~..I.~..~'. COO.~c~. ~.ah~rO.~,~cI .......
3. Nature of work (check which applicable): New Building ..... ..... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ~OF,5'r.,, ~.oq, }.
(DescrilS~tion)
4. Estimated Cost ..... ~ .c,..C:?..O....(~...c_? .................. Fee ......................................
· (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of 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 ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
Dimensions of entire new construction: Front .......... · ..... Rear ............... Depth ...............
l-lei~ht ............... N~m~..ber of Storie~ ..................................................
9. Siz; of lot: Front .... .'~.~.'3--- .(~ ....... Rear...!I, .e~, .c/.~. ........ i Depth .2, .,3.¥.,. l.t-/ .........
10. Date of Purchase ...."~ J. ~..-'/. .................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zonin{,.o... _law ordinance or re'~ulation: ..... ,~,.~h.O. .......................
Will 10t be regraded . .~o0[ .rOi. ti. Io.~. c~ c-a' ~t.~,.. Will exces~/'fill be removed from premises: Yes No
13.
14. Name of Owner of premises . .~.alloh. ~.d al. la,~&~,-Address .'~'30,~'.13~-~ g _-l'..~-q. Phone No..'~.."5.~.-..,~.~[~'~,-~...
Name of Architect ............. ?. ..... ? ...... Address ?'..°.."I~Z..¥°..q. ¥..~:~'..... Phone No ................
Name of Contractor ..~t~, (¢l.rtq..d9.601 .$ ..... Address .tli.~ [ ;{~.-['~lq-. .......Phone No...~ .~ ~.-. ~. L ~.O.
15. Is th±s property located w±th±n 300 feet of a r±daP:~'~at~.~'&'~/dt??.~'... ~o ..~...
· If yes, Southold Town Trustees Perm±t maybe requ±red.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YOP~
COUNTY g-._... S.S .....
............ .e~.~ ~[V' '~''' '~'4~-~'~ ...... being duly sworn, deposes and says that he is the applicfint
(Name of in~ivi'dual signing contract)
above named.
He is the ........ ~.~.~ ~. ~0.~..Q .~. ~ ~ ~ ........ ~ .......................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to ~e and file t~s
application; that all statements contained ~ this application am true to the best of his knowledge and belief; and that the
work w~l be perfomed in the m~ner set forth ~ the application filed therewith.
Sworn to before me this
............ ~.~...day of...~.~ ......... 19.~
~ota~ Public. .... ~~ [ }~ 5~e6~3 q ..... County ~~~ .....
TOWN OF SOUTHOLD PR~~;~; ._
OWNER STREET '~.70...'~ VILLAGE DIST. I ,SUB, LOT
~' ~ I ~ S~. ~ FA~ CO~. CB. MI~. Mbt. Value
~D IMP. TOT~ DA~ R~S
~ ~,~ , , ,.
/
s,~* 2;~ //;~ :~/,.1~~ ~,/~ " "'/:~ ~,~
' / ' ~/~e~ :,, ,, ~ ~7~
~1~. . ~' * ~ ~ FR~TAGE ~ WA~
~ / ' .// ~-0 DE~H
~ P~ O. ~ ~,~'/~ , BUSHED
COLOR
TRIM
Extef~iofl
/F X I;2.=
T~al
Foundotion
· 7_6 Ext. Walls
Fire Place
Type Raof
Floors
Interior Finish
Heot
Rooms Ist Floor
Room~ 2nd Floor
J Dinette
Ko
LR.
DR.
BR.
Drlvewoy
FIN. B
5.1~ ~E~ ~ ~'~~ '-~ ' '
"IMMEDIATELY"
ENCLOSE POOLTO CODE HAP OF P~PEETY
UPON COMPLETION ,. · ~ .
OCCUPANCY OR i2AL .-
IS UNLAWFUL <
OF OCCUPANCY ~,,:sr
Lb'
APPROVED AS NOTED
FEE:'/3'-~ ~- BY: '~
NOTIFY BUILDING DEPARTMENT AT
765-1802 g AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOU~IDATION ' TWO REQU RED
FOR POURED CONCRETE
· 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REOUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES NOT RESPONS BLE FOR
DESIGN OR CONSTRUCTION ERRORS
I':]' IflONUI'4 E I',IT
td21ZA,. I I.'F'J~ A.
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SURF. ~, ~'A'~.
I~--TO
LAND
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S T r-'9,:: 0~ .-:-: C..,:.~L
PLAN
.t
"' i
~ECTION B-B
. t~//4.~_f.~ '/."./'Z::: :" i,. -: .....
SECTION A-A
/
· '-- FORM TIT
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"~ BARS
PLAN
, TY-Pf¢ A l:.--W--~'-L-l:':, ............
A-W&T Fg(~M
PIPING
ARRANGEMEN'
OPTIONAL STEP
TYPE I.
". ',' ---~ /~ ~', ~ r-::
_ r_2~_ : :
b'PTIONAL ST~P