The URL can be used to link to this page

Home My WebLink About34004-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34180 Date: 02/04/10 THIS CERTIFIES that the building SWIMMING POOL Location of Property: 300 JACKSON ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) Co%~nty Tax Map No. 473889 Seetlon 117 Block 10 Lot 2 Subdivision Filed }{ap No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2008 purs-~-t to which Building Permit No. 34004-Z dated JTSqE 24, 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 KEVIN FERRO & LIA POLITES (OWNER) of the aforesaid building. SuF~OI~K ~UN~I"fDEPAR~TOF~ALTHAPPRO~%L N/A BL~C~TRICAL c~KTIFICATH NO. 4011584 05/26/09 pLiERS C~KTIFICATION DA'r~U3 N/A ~ed S~ Rev. 1/81 ., BUILI)iNG DEPARTMENT /II, JJF'--'~ t_.,= II I APPLICATION FOR CERTIHCATE OF O(.CUPA~CY L ~ J 1 his application must be filled in by lypcwriter or ink and submitted to thc Building D~i ...... : ~t~. ~_~m-w A. For new building or new nsc: i Final survey of propmly with accurate locatiou nfall buildings, prope~y liues~ streets, and anusual natural or topographic [~atures. 2. Final Approval fi-om } {calth I)clgt. of water supply and sewcrage<lisposal (S~9 fbrm). 3. Approval of electrical installation fi-om Board of f:ire Underwriters. 4. Sworn statement f~om 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 ce~ificate of Code Compliance from architect or engineer responsible tbr tbc building. 6. Submil 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: I. Accurate survey of property showing all property lines, streets, bailding and nnusuat natural or topographic fcatm-es. 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 tberefnr iu writing to the applicant. I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alter~ tons to dwelling $25.00. Swmnning pool $~5.00. Acccsst y bm drag 525.(), At t ltlons to accessory building $25.00, Businesses $50.00 2. Certificate oFOccupancy on Pre existiug Building - $100.00 Copy o['Ccrtificate ol'Occapancy - $.25 4 [Jpdated Certificate ol'Occupancy - $50.00 5. Temporary Certificate of Occupancy Residential 515.00, Commercial $15.00 New Construct/on: [ ocation of Property: Old or Pre-existing Building: (check one) Street 1 lamlet House No t)wucr or Owners of Property: Snflblk County Tax Map No 1000, Section Subdivision l{c :h I)cpt. Approval: 15anni~i:: Board Approval: Request ibr: Temporary Certificate t:ce Submitted: $ $~ 5' Filed Mai). _ Applicant: Lot: Underwriters Approval: t"inal Certificate: _ (check oue) Applicant Signature -- 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 G & S ELECTRICAL CONTR. KEVIN FERRO P.O. BOX 215 300 JACKSON ST SOUTHOLD, NY 11971, NEW SUFFOLK, NY 11956 Located at 300 JACKSON ST NEW SUFFOLK, NY 11956 · Application Number: 4011584 Certificate Number: 4011584 Section: Block: Lot: Building Permit: 32761Z BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, Pool/Spa, 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 in compliance therewith on the26th Day of May, 2009. Name OTY Rat__.~e Ratin~ Circuits Two Alarm and emergency equipment Sensor 3 0 0 Carbon Monoxide Transfer Switch 1 0 0150a Appliances and Accessories Air Conditioner 3 0 Above 1500 BTU Air Handler 3 0 20 Amps Dish Washer 1 0 1.2 KW Exhaust Fan 6 0 F.H.P Pool / Spa Bonding 1 0 Pool Heater 1 0 Gas Range I 0 40 Amps Miscellaneous certificate is for pool and house Service Service Disconnect: 2 150 cb ServicalPhase3w Service Rating300Amperes Wiring And Devices seal Fixture 3 0 pool Incandescent Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 G & S ELECTRICAL CONTR. KEVIN FERRO P.O. BOX 215 300 JACKSON ST SOUTHOLD, NY 11971, NEW SUFFOLK, NY 11956 Located at 300 JACKSON ST NEW SUFFOLK, NY 11956 Application Number: 4011584 Certificate Number: 4011584 Section: Block: Lot: Building Permit: 32761Z BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Outside, Attic, Pool/Spa, 3 ~oot'lt 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 in compliance therewith on the26th Day of M"Y, 2009. Name QTY Rat___~e Rating Circuits Tvoe Fixture 81 0 Incanflescent GFCl Circuit Breaker 2 0 pool Outlet / 81 0 Fixture Outlet 126 0 Gen. Purpose 1 0 pool GFCI Receptacle Receptacle 2 0 20a-laundry Appliance Receptacle 2 0 30a Dryer Receptacle 2 0 20a-pool Special / twist lock Receptacle 9 0 GFCI 68 0 Gen, Purpose Receptacle Switch 75 0 Gen, Purpose (Swimming Pool): This certificate covers compliance at the date ofinspection onlYfrequent test and/or repairs made by a qualified person 2 of 2 Because ofunusual environments it is advisable to have SCan[ This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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. 34004 Z Date JUNE 24, 2008 Permission is hereby granted to: FERRO 27 WEST 67TH STREET NEW YORK,NY 10023 for : CONSTRUCTION OF AN IN-GROUND SWIMMING IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 300 JACKSON ST County Tax Map No. 473889 Section 117 pursuant to application dated JUNE ~uilding Inspector to expire on DECEMBER 250.00 NEW SUFFOLK Block 0010 Lot No. 002 6, 2008 and approved by the 24, 2009. ORIGINAL TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANTCONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ c~ r 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 / -- ~-7 ~- / o INSPECTOR FIELD IiNSpECTION REPORT FOU]XlI)ATION (/ST) FOU2N'E, ATION (2ND) ROUG]tt FRAMING & iu%SLVLATION PER N. ¥. STATE ENERGY CODE DATE COM2MZNTS ADDITIONAL CO1VI/VIENT$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Approved Disapproved a/c Expiration ,20 BUILDING PERMIT APPLICATION CHECKLIST 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 Flood Permit Storm-Water Assessment Form Contact: ff Mail to: Phone: .~,,PPLICATION FOR BUILDING PERMIT \ Date - ~ ,..' INSTRUCTIONS ,20 OR a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced 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 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) State whether applicant is_0~essee, agent, architect, ~'1 ~'~T ~7TM <ox- ~,ao,,~ ¥o~-~,. to.'L (Mailing address of applicant) engineer, general contractor, electrician, plumber or builder Name of owner of premises [q-e-'~ ~ ~-,,-x,~-~o (As 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. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block ~" -' '~llea Man No. Lot Lot State existing use and occupancy of premises and intended use and occupancy of proposed Construction: a. Existing use and occupancy 17--~ ~ ~.~2 b. Intendeduseand occupancy 5. If dwelling, number of dwelling units If garage, number of cars Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Alteration (Description) Fee (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 14. Names of Owner of premises ¢~..-"x~,~ G,...,~t~ Name of Architect 3'~M.~e~ ~&,o~u~_ Name of Contractor F¢c-,O %~ ~--~-~--~ NO ~Will excess fill be removed from premises? YES__ Address~ ,~o~ ~, Phone No. Address Phone No ~&~ Address 2~ ~~t Phone No. ~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~c. 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 /K' 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. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUN ¥OF ) NO 1~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 manner set forth in the application filed therewith. Sworn to before me this .._- .~.,d~y o f 3 '-~ ~,_ 20 p. HCE Nota~ Pubhc ~o. Signature of Applicant Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: $.C.T.M. #: District Section Block Lot THE FOLLOWING ACTION8 MAy REQUIRE THE SUBMISSION OF A STORM-WATER; GRADINGr DRAINAGE AND EROSION CONTROL PLAN C~KTI~IED 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 No 2 3 4 5 6 7 8 9 (This item will include all run-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 Matedal 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 judsdiction or with n One Hundred (100') feet of a Wetland or Beach'~ V',,[!~ there bo Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical 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 tight-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 Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to leeuance of Any Building Permitl EXEMPTION: . Does this project meet the minimum standards for classification as an Agdcultural Project? Note: If You Answered Yes to this Question, a Storm-Water, Grading. Drainage & Erosion Control Plan is NOT Requlredl Yes No STATE OF NEW YORK, .....,~.~........~.. ....................... COUNTY OF ~'] ~,J /~C SS That I ....... ~.~...~...........~..~ .................................. being duly sworn, de'poses and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the (Owner, Contractor, Agent, Corporate Offer, etc.) Owner and/or representative of the Owner of OvCher'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 tree 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 d~is; ........................ : ................ · ................................ FORM - 06~07 C~l~.d ta Nee,.u co.. ~o to "IMMEDIATELY" ENCLOSE POOL TO CODE ~DpRO~/ED AS NO U PON COMPLETION ~"/- -- '/~., ~ BEFQR~"WATER" ~^.T,~/_./'"'~"//~ B.P,~ '~' ~ :- - / "- ':' "~~ FOLLOWING INSP~CT,~ ..... 3~?~1~k~ ALL CONSTRUCT~O: SHALL WFHOUToccUPANCY ~ ~ MEET THE REQUIREMENTS OF THE CO0~S OF NELV ~,~ .... ~: 1~"=1'~" PR~RESS 8ET - NOT FOR CONSTRUC~ON