HomeMy WebLinkAbout35227-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34474 Date: 07/22/10
THIS C~K'rIFIES that the building SWIMMING POOL
Location of Property: 10946 NORTH BAYVIEW RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 79 Block 5 ~t 20.8
Subdivision Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 17, 2009 pursuant to which
Building Permit No. 35227-Z dated DECEMBER 17, 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 CLIFFORD & LORRAINE CORNELL,
( OWNER )
of the aforesaid building.
JR
SUF~OI~KCO~DEP~/ITME~FTOFHF~%L~PR0%5~L N/A
ELBL-i~ICAL c~TIFICATH NO. 8976 01/03/10
PLIERS CERTIFICATION DA'r~u N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUII~)ING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35227 Z
Date DECEMBER 17, 2009
Permission is hereby granted to:
CLIFFORD C JR CORNELL
22 WRIGHT ROAD
ROCKVILLE CENTRE,NY 11570
for :
CONSTRUCTION OF AN IN-GROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS DETERMINED BY PLANNING & AS APPLIED FOR. REPLACES EXP. BP # 28778
at premises located at 10946 NORTH BAYVIEW RD SOUTHOLD
County Tax Map No. 473889 Section 079 Block 0005 Lot No. 020.008
pursuant to application dated DECEMBER 17, 2009 and approved by the
Building Inspector to expire on JUN!Fee $ 250.00~,~ {~......._A~t~9riz'---l~~~e~
ature
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. 28778 Z
Date SEPTEMBER 24, 2002
Permission is hereby granted to:
CLIFFORD CORNELL JR.
22 WRIGHT ROAD
ROCKVILLE CENTRE,NY 11570
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD AS DETERMINED BY PLA/gNING & AS APPLIED FOR
at premises located at 10946 NORTH BAYVIEW RD SOUTHOLD
County Tax Map No. 473889 Section 079 Block 0005 Lot No. 020.008
pursuant to application dated SEPTEMBER 16, 2002 and approved by the
Building Inspector to expire on MARCH 24, 2004.
Fee $ 150.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
76S-1802
APPLICATION FOR CERTIFICATE OF OCCUPANC'I
This application must be filled in by typewriter or ink and submitted to the Building
For new building or new use:
..... '~ 2010
BLDG. DEPL
merit wJthT~ql~/~J
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
.2. FinM Approval from Health Dept. of water supply and sewerage-disposal (8.9 form).
3. Approval of electrical installation fi'om Board of Fire Underwriters.
4. Sworn statement fi'om plumber c~ftifying that the solder used in system contaius less than 2/10 of 1% lead.,
CommerciS]. building, industrial building, multiple residences and Similar buildings and installations, a Certificate
of Code Compliance fi'om architect ol: engineer responsible for the building.
'6. Submit Planning Board Approval of-~ompleted site plan requirements.
B. For existingbuildings.(prior to April 9, 1957) non-conforming uses, or buildings and ~'pre-existing' laud uses:
1. Accurate survey of property showing all prope~y lines, strects, building and unusual natural or topographic
features.
2. A propcr~y c~mp~eted app~icati~n sudc~usent t~ inspect ~igned by thc app~ieant. If a Certi~cate ~f ~ccupancy is
denied, the Building hispector shall state the reasons therefor in Writing to the applicant.
C. Fees 1. Certi~cate ~f Occupancy~ N¢w dwe~Fmg $25.~ Additi~n~ t~ dwe~ing $2$~ A~terati~ns t~ dwe~ing $2$~
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building ~25.00, Businesses $50.00.
2. Certificate ofOccupancyon Pr¢-rxisting Building - $100.00
3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Tcmporary Certificate of Occupancy_ Residantial $15.00, Commerciat $ l S.00
Date. 7'~' I(~ '~0
New Construction:
Location of Propc~,:
House No.
PetmitNo. B ~-.,TZ'~)-- DateofPermit.
Health Dept. Approval:
Piing Bo~d ~proval
R~uest for: Tempo~ Ceaificate
F~ Submitt~: $ ~ ~
Old or Pre-existing Building:
Strut
Slcck
Filed Map.
Applie~ut:
Underwriters Approval:
Final Certificate:
(check One)
Hamlet
L~t:
(check one)
Applicant Signature
Nassau Suffolk Electrical Inspections,Inc.
P.O. Box 549, Aquebogue, New York + 11931
Tel: 631-591-3097 Fax: 631-591-3098
Application: 8976 Date: 1/3/10
Issued to: Clifford Cornell Jr
Address: 10946 N.Bayview Rd Introduced By: EECO Electric Corp.
Village: Southold License#: 2781-ME
Residential [] Commercial
Attic
Basement
The following was examined and approved up to the above date and found to
be in compliance with the NEC:
Ist Floor 2"a Floor 3r~ Floor GaraRe Conversion
Hot Tub Addition Detached Garage Pool []
Switches Receptacle Fix'lures G F i i Mierox~a~ e H~x~d Smoke Detectors
I 2 I 1
Fans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Carbon Monoxide
Furnace Oil G~s Heat Zones Whirlpool Exit Signs
I Final lnsp. Meter ~mps phase Motors
i I/3/10 1
Other Equipment: I-G~s Heater
In Grou:td Pool
This certificate must not be altered in any manner
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] RO~i PLBG.
[ ] FOUNDATION 2ND [ ] IMSULATION
[ ] FRAMING / STRAPPING [ ~FINAL f~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
INSPECTOR
~.~:I,D INSPEC.-I'tON REPORT DATE [
FO~A~ON (2~)
ROUGH ~G & ~
pL~G
~S~A~ON P~ N. Y.
STA~ ENERGY CODE
/
~D~ON~ CO~S
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
p/, 20 ~9 ox~
Expiration
ffuil~i~g Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
3 sets of Building Plans
Planning Board approval
Survey_
Cheek
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20 O'/--
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 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 ofa BuiJ, d~g ,l~r~t pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appli~ ~ie I, ffw~ff', Ordinances or
Regulations, for the eonstmetinn of buildings, additions, or alterations or for removal or de~ nfi('~in ~seribed. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing co~//m ~ to aan~
authorized inspectors on premises and in building for necessary inspections. /~.fi ~/~// ~ /
c. t or me, ifaco o..on,
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ~-_ L-\F~O~.~ C__. C 0~,-}4~.
(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. e2~ -5 '] ~
Plumbers License No.
Electricians License No.
Other Trade's License No.
}al
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section "~ Block
Subdivision 5'~_.t-k.gl~tq ¢¢e~.[q ~ Filed Map No.
(Name)
Lot ~ ~
q'70o Lot t
2. State existing use and occupancy of prernises and intended use and occupancy of proposed eonstruetiOn:
a. Existing use and occupancy ~ ~'~%y' il-k?<3
b. Intended use and occupancy
3. 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
Addition
Other Work
Fee
Alteration
(Description)
~ (To be paid on filing this application)
Numb~ at' dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature a~d extent of each type of use.
7. Dimensions qf existing structures, if any' Front I OI. 5 i Rear JO ~ · 5' I Depth
Height ~-"~
Dimensions of same structure with alterations or additions: Front Rear
Depth Height. Number of Stories
8. Dimensions of entire new construction: Front -~, ID Rear .~rO Depth
Height Number of Stories
9. Sizeoflot:Fmnt ~ ~. ~Rear .~'O~2,, g.~'~ Depth
10. DateofPurchase ~1 ' I~ ' 0 { Name ofFormer 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 NO )~ Will excess fill be removed from premises? YES J~ NO
14. Names of Owner of premises eta ¢~' eo&N~t~LAddress IOq',q.tI, d.J}~¥~oPhone No. ~
Name of Architect Address Phone No
NameofContractor T'~x-'$ bt, el; f'ot~.~, Address --1~/-oo ~,'c~cet~-r' PhoneNo. ~.l-'~l-aoqt
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~t
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet cfa tidal wetland? * YES NO ~t'
* 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 I 0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF 5O ~[ZuL)
~ ~,~ ~ 1'1 l& ~ ~ ~ ~ [ ~O ~, being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
~ (S)Heis the
(Contractor, Agent, Corporate Offi~/er, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work andflo~ike and file this application;
that all statements contained in this application are true to the best of his knowledge and beli~,~, nff~at the work will be
performed in the manner set forth in the application filed th erew itU.
Sworn to_before me this.,
~. fl Notary P~ ' -I~¥LENE L/SEN . ~ / (.~i ~m"/l~e of Applicant
v U~TARY PUBLIC, State of Now 'YOm
., .... No. 01LY4926648
Term Expires ~
~-WNER ........... STREET f ~ ~'( ~ ('¢:' VILLAGE D~ST7__ SUB. LOT
W ~ / REMARKS
TYPE OF BLD.
PROP. C~SS ~ ,~
LAND IMP. TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON~ ~ ~ WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
COLOR
, c Bath Dinette
M. Bldg. Foundation c s
FULL
Extension Basement C~,WL Floors ~;> ,'~'i~ Kit.
Extension Ext. Wails interior Finish L.R.
Extension Fire Place '*~ Heat O I/.-- D.R,
Patio Woodstove BR.
Porch Dormer Fin. B
Deck Attic
Breezeway Rooms tst Floor
Garage Driveway Rooms 2nd Floor
Pool
E~UP-.VE'f' OF LOT #1
FILEE) 6-14-q5 A.~ #
51TUATE.' BAYVIEI~
Lot#3
(not to scale)
Lot#4
_PLEASE NOTE
Minimum distance betWeen well
and cesspool is to be 150 feet.
Lot#2
Lot#1
sam
N
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631 ) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
MAY 2nd ,2006
Clifford Comell JR.
22 Wright Rd.
Rockville Centre, NY 11570
RE: 10946 North Bayview Rd.
S.C.T.M. #~79 0005 020.008
Dear Mr. Comell,
Please be advised that your Building Permit # 28778 issued September 24th,2002 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00. At that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDiNG DEPT.
K. Miller
Clerk Typist
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-(1959
BUILDING DEPARTMENT
TOWN O1* SOUTHOLD
Fax (631 ) 765-9502
Telephone (631 ) 765- 1802
February 1st, 2007
Clifford C. Cornell Jr.
22 Wright Rd.
Rockville Centre, N.Y. 11570
RE: 10946 N. Bayview Rd. (in-ground p0ol)
SCTM# 79 5 20 8 2na NOTICE
Dear Mr. Cornell,
Please be advised that your Building Permit #28778 issued September 24t~, 2002 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $150.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631 ) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 4th, 2007
Clifford & Lorraine Cornell
22 Wright Road
Rockville Centre, N.Y. 11570
RE: 10946 N. Bayview Rd. (In-Ground Pool) FINAL NOTICE
SCTM # 79 5 20 8
Dear Mr. & Mrs. Comell,
Please be advised that your Building Permit #28778 issued September 24th, 2002 has
expired. According to the Code of the Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of 150.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
EDWARD FORRESTER
DIRECTOR OF CODE ENFORCEMENT
Southo]d Town Ha]] Annex
54375 Route 25, P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1939
Facsimile (631) 765-6639
e-mail:
ed.forrester@town.southold.ny.us
TOWN OF SOUTHOLD
March 12, 2008
Clifford & Lorraine Cornell
22 Wright Rd
Rockville Center NY 11570
Re; Property at 10946 N.Bayview Rd. Southold
SCTM# 1000-79-5-20.8
Dear Mr.& Mrs. Cornell,
Please be advised that the Building Department has forwarded your file to this office for
enforcement action. Letters have been sent requesting you obtain a C.O. for the work
that was performed under expired permit #28778.
It is a violation to use a structure without a valid C.O. issued by the Building Department
Please take the steps necessary to remedy this violation.
Thank you for your anticipated cooperation.
Sincerely,
Director of Code Enforcement
cc: Building Department
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (63 l) 765-1802
Fax (631) 765-9502
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
December ~nd, ?009
Clifford & Lorraine Cornell
:>2 Wright Road
Rockville Centre, N.Y. 11570
Re: 10946 North Bayview Rd. / Violation
SCTMg 1000-79.-5-20.8
To Whom This May Concern:
Your BUILDZN& PERM,- # 28778 issued September 24th, 2002 for construction of an
TN-GROUND SW]:MMI:NG POOL has been referred to me because you have not
responded to requests to obtain your Certificate of Occupancy as required by
~outhold Town code.
Pursuant to 144-15A, of the Southold Town Code, "No building hereafter erected
shall be used or occupied in whole or in part until a certificate of occupancy shall
have been issued by the Building Inspector."
Therefore, you have ten days f~om the receipt of this letter to submit a check made
out to the Town of Southold in the amount of $;>50.00: to renew the building permit,
or legal action will be taken against you. Should you have any questions, call the
building deportment between the hours of 8:00 a.m. and 4:00 p.m. PLEASE SEE
ENCLOSED DOCUMENT RE~;ARDTN~, SWIMMZN& POOL CODES.
Respectf~ours,
7009 0820 0001 7621 5257
,1
J. g
C
,,~...D.ETAI L A
* NO DIVING BOARD ALLOWED
T
K
i
-NOTE-
POOL SIZE A B C D E F C H J K L J
12' x 24', 12' 24' 8' 7'6- 6' 2'6' 6' 2'6' 7' 3'6- 26'10'
I
14' x 26', 14' 26' 10' 7'6- 6' 2.6' 6. 2.6' g. 5'6- 29'6 3/8'
16' x 32' 16' 32' 6' 14' 6' 4. 8, 4. 8, 3'6- 35'9 1/4'
16' x 36' 1~' 36' 12' 14' 6' 4. 8. 4. 8, 3.6' 39'4 3/4'
~.' ;~ 36' 18' 36' 12' 14' 6' 4' 8' 4' 10'i3'6' 40' 5'-J. Ik(A
20' x 40' 20' 40' 14' 14' 8' 4' 8' 4' 12' 3'6' 44'8
;INEERING
CARDINAL SYSTEMS
~ S. liT. ~t (7t7 385-4753
SO~.Rq.K~LL ~V'[N. PA. ('717) ~ 1~t8 FAX.
~a 4-~-91 I~r~: 6' R. CDRNERS
r..~.~: HDNE J RECTANGLE
~": KK Ir~ '~: RECT6RC
il'lAP OF "PLOGK
i 5,1~ i FlSf. ER PR,ESERV'E"
i FI! I:m 6-14-q5
51'llJATE, t~,AYVlEIAI
TOI~I.'
.C~TT', OLK ~, NY
!5URMETED IO-12-qq
iAMENDED
10-25-CX~, lO-B-GO
2-1~,-CX~,SEPTIC. 0~-20-0I,
I FINAL 11-1.5-OI
.?:~L]FFOLK GOUNT¥ TAX #
I000 - 'lq -
SUFFOLK. CC)UN'Pt' DEPT. HEALTH 5,EP, VIC. E5
REF. # RlO-qq-021'1
Lot ~3
.7
Lot#4
· tt
Lot#2
881026,11 "E
251.94, ,~
Lot # I ~
NOTES:
· M~NUNENT
o PIP~
AREA = 2.I'i AGRE5
®IP. APHIG 5(_.,AL E
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369--8287 REF.-TIGER~PROSLq9-260C