HomeMy WebLinkAbout35439-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34472 ~te: 07/19/10
THIS CERTIFIES that the building SWIMMING POOL
~atio~ of Propel~cy: 1020 OLD F~=RM RD
(HOUSE NO.) (STREET)
County TaxMap No. 473889 Section 25 Block 5
Subdivision
Filed Map No. __ Lot No. --
ORIENT
Lot 11
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 5, 2010 pursuant to which
Building Permit No. 35439-Z dated APRIL 5, 2010
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 MARTHA GEISSINGER & MONICA MAYPER
(OWNER)
of the aforesaid building.
S~FOI=K~I~/~YDEPI%R~T~TOF}~LTH~PPRO%KAL N/A
E~.~-~IC~J~ C~TIFICA~]~ NO. 35439 07/09/10
I~LUMBERS ~KTIFICATION DA'rKO N/A
Rev. 1/81
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. 35439 Z Date APRIL 5, 2010
Permission is hereby granted to:
M.GEISSINGER & M.MAYPER
6 STUYVESANT OVAL-APT 4-D
NEW YORK,NY 10009
for :
CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL W/ FENCE TO
CODE IN REQUIRED REAR YARD.REPLACES EXP. BP # 25015
at premises located at 1020 OLD FARM RD
ORIENT
County Tax Map No. 473889 Section 025 Block 0005
Lot No. 011
pursuant to application dated APRIL
5, 2010 and approved by the
Building Inspector to expire on OCTOBER
Fee $ 250.00
rized 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. 25015 Z Date JULY 13 98
Permission is hereby granted to:
STEPHEN J MOECK
PO BOX 1525
EAST MARION~NY 11939
for :
CONSTRUCTION OF AN ACCESSORY IN-GROUND SWIMMING POOL WITH FENCE TO
CODE IN REQUIRED REAR YARD AS APPLIED FOR.
at premises located at 1020
County Tax Map No. 473889 Section 025
pursuant to application dated JULY
Building Inspector.
OLD FARM RD ORIENT
Block 0005 Lot No. 011
6 98 and approved by the
Fee $ 150.00
Bui lding~nspec/t or~'
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEP~TMENT
~PLICATION FOR CERTIFICATE OF OCC~
This application must be filled in by typewriter or ink and submitted to the Building Depa
tmen[ with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
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.
5.
BLDG. DEPT.
TOWN OF SOUTHOLI)
Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
Commercial building, industrial building, multiple residences and Similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
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 cempleted 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, Additions to dwelling $25.00, Alterations to dwelling $25.00,
g/~'~w~_imming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occup~mcyon 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 Pm-existing Building: f (check one)
LocationofProperty: //~;>~'~ EP~-~ ~'-.r~/~P~
House No. Street , Hamlet
owner or Owners ofProperty: ~f~ ~V~ ~/~f_~r~ ~//
Suffolk County Tax Map No 1000, Section '~ ~D Block LD'~ Lot \ \
Subdivision Filed Map. Lot:
Pon'mit No.-~'~ Date of Permit. Applicant:
Health Dept. Approval:
Undem, riters Approval:
Planning Board Approval:
Request for: Temporarj Certificate
Fee Submitted: $ t~ :/~
Final Certificate: ¢/ (check one)
Applican~ Signature I
5437,5 Main Road
P.O. Box 117!t
Southold, N Y 11 !t71-09,59
l¥1cphonc(631) 76,3-1802 Fax (631)
ro,qer, richert~,town.southold.ny, us
1½! !IL1)ING 1)EPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Martha Geissinger
Address: 1020 Old Farm Rd City: Odent St: NY Zip: 11957
Buildin9 Permit #: 35439 Section: Block: Lot:
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Servicelph ~ Heat ~ DuplecRecpt ~ CeilingFixtures ~ HIDFixtureSs~
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel NC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel NC Blower Range Recpt Fluorescent Fixtur,~u Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: swimming pool, with 1 pump, I light, bonding, other pool related equip
Notes:
Inspector Signature:
Date: July9 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~TION
[ ] FRAMING / STRAPPING ~'FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RI~I~"r~T~UCr~I [ ]R~'~ITI~IL~r~T~I
REM RKS: -~)/~ ,~ /~ ~ ~1~.
DATE
/~~_~INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-18O2
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] RRE RESISTMn' CONSTRUCTION [ ] FIRE RESISTAI~I' PENETRATION
[ ] ELECTRICAL (ROUGH) ,/~ELECTRICAL (FINAL)
REMARKS:
DATE
TOWN OF SOU~--~'~ING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROU~PLBG.
[ ]FOUNDATION 2ND [~ ]/~N81JLATION
[ ] FRAMING / STRAPPING ~ FINAL
[]FIREPLACE&CHiMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ ~ ~
DATE
INSPECTOR
:OUNDATION
(1st)
FOUNDATION
(2nd)
ROUGH FRAME &
.FLUMBING
INSULATION FERN.
STATE ENERGY
CODE
Ye
COMM£~TZ
O
G
FINAL
ADDITIONAL COMMENTS:
FORH NO. I
.JUL -6 ~ To.. or SOUT,,O,..
BUII.DING DEPABI'HENT
'fO~/N IIALL
Sou'rlIOLD, N.Y. 11971
TEl.: 765-1802
{Building ln~lt~tor )
APPLICATION FOR BU.ILI)ING PERH][T
INS'fRUCT]ONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPTIC FeRN ...................
NOTIFY~
HAIL TO: ....................
s. 'Ibis application ntmt be coapletely filled in by tTpe~riter or in ink and mdxnitted to tim Building Inspector w
3 sets of plans, accurate plot plan to scale. Fee according to sd~kfle.
b. Plot plan zi~tng location of lot and of buildhgs on premises, relattouzhip to adjoining premises or l~/blic
streets or areas, and giving a detailed deacril~iOo of layover of property tarot be dream o~ tim dlagr~n ~dch is part of
lids appl italian.
c. 'll~e ~ork covered by lids application may ant be ccraaenced before issuance of Building Permit.
d. Upon approval al lids application, tbe Puilding Inspector xdll[ issue a Build|ns Permit to tim applicant.
pemit shall be kept on ti~e i,,o~dses available Ear inspection thro~ghont tbs ~ork.
e. Ilo t~iidlng slmI1 be occupied or used in ~,t~le or in part for any purpose ~mtever until a Certificate of
Occupancy shaIl Imve been granted by tim P~dlding Inspector.
AI'PI.ICATIGN IS Ilg~ ~t~lli to tim Suilding Department for tim issuance o~ a Building Permit pursuant to the
Iloilding Zone Ordinance of the Toon of Sonthold, Suffolk Count/, New York, and other applicable l.a~s, Ordltmnces or
Regulations, for tim construction of hfiIdings, additions or alterations or fog rem~el or demoliti.on, as herein
ragnlatlons,,.g to admit mthoriz~l inspectors o, premises snd ir~build ~ fo, i~eceas~ inspections.. ~j
....
"IMMED~aTm v,, "i'.~,i,,;; o~/,~,fi~.t.~P,,~.~,~ s
Uhi)ERWRITf}R$ CERTIFICATE EN~-m~r pnk." ~,';"~,,',r." 'e '/'Y [ '~' ' ~ ~. )
'" IRED ........... "~"~ -
UPON COMPLETION A~.i. El-,g ~..~¥A ¥..~.~r~'t~. N.Y. !l. qol ......
.
SLate ~eti~er applicant ~$ C~ter. lessee, agent, architect, enst~neer, geoeral contractor~ electrician, phraber or Ix. id('
.................... .C~.~.n...~..?¢~ ....................................................................................
<an on t,... l.teet
-~ ....... ~-l~ · ~ 70 * ~M r4~ THE
' / '/ \ \ '~ "'---/ OCCUPANCY OR , POl~lD~lrloII - ~ IIIOUIRED
.... ..... liS[ IS UNL WH t
I
Other ~'~ ~i~ ~ ..................... ~ ~18~ ~ ~
~A~ ~U~N & ENERGY
II.
Iii,
II.
12.
13.
16.
1.5.
l~',.re of ~ork (d~:k ~l~id~ appheable): ~ ~[ldi~ .......... ~i~i~ .. r~:..~
I~lmir ............ ~mal .... I~lltlm ............ Otlmr ~ ~l~..~ff~qH ......
[stiJi~t~l ~st.... .. /.~ .......... f~ ...................... ~ ....~}~(~.~
(to ~ ~id on fili~ ~ta a~ticati~)
I~ ~kmlli~, ~lmr o[ ~llh~ unit~ ............ tlmlmr o~ ~k~lltn8 tmlt~ ~ ead~ ~r ................
1[ garage~ ItJd~r oE cara ......................................
1~ Ixmi~maa~ ~rclai or ml~l'~mqm~, e~cl~ ~ture m~ ~tent o[ ead~ ty[m o~ u~ ......................
Ili,en~i~m o[ ~t~t[~ stnmture~, J~ any: ~m~ ................ ~ar ............... ~pth .................
I~i~ ......................... ~dmr o~ 8torie~ ......................
I~pth .................... I~l~t .................... ~Jttmr o~ 8torie~ ...............
I)i.en~i~m o[ entire ~ ~t~tl~: l~mtt ................ I~ar ............... ~pth ..............
t~i~t ......................... ~d~r o~ Storle~*. ....................
Si~ o~ Iot: I~t .................... ~ar .................... ~pth ....................
I~de nf ~r~m~ ..................... ~m o~ Fonmr ~r ........................................
~ or u~ district In ~ld~ prml~ am ai~t~ ..............................................................
~ pro[~l ~t~tl~ violate any ~ln8 I~, ordl~me or regularly: ........................
.............. m. ~.~.3~.<~.
· ~e o~ Ard~lt~t .................................... ~lres~ .............................. ~ ~ ...............
Is lids p~rty ~irhin ~ [~t.o~ a rt~l ~tl~I * ~ .......... ~ ,~ ......
PI,OT D~AGRAt4 *
locate clearly and distinctly all bulldlnSa, vi*all,er existing or proposed, and indicate al! ~et-back dimensions
fron proDerty llne~. Oi~ street atxl block rudder or descript|on according to deed, and sho~ street nanea ami italic:ate
t~lmll~er interior or comer lot.
XI~IY (~ ................ ~'.1 ~ ~ ~ ~ .~. ~ ~
(C~ltractor, ~ent f cor~rate o[~icer, etc.)
o~ .aid [~mr nr ~mrs, mil t~ ~[y ~tl~r]~ to i~rfonn or h~we i~rforn~] the ~id ~rk m.] to n~ke aml file this
nlqd {caciml; that all etatemnt8 c~tta[~ in this nlqdicat[~ are tn~ to the Imst oE his hml~ge and Imllefi
that the ~rk viii Im ~r[o~! in tim u~m~r ~t forth in the n~l. leaticm fil~
~)rn to Imfore m
TOWN OF SOUTHOLD PROPERTY RECORD CARD
~ oc) c:).~. ~-.~?
OWNER STREET / ~1~.,~ VILLAGE DIST. SUB. IOT ¢~
FORME~R OWNER N E ACR. [
/ / S W TYPE OF BUILDING~[
R~. ~ O S~S. VL.~ FARM COMM. CB.. MICS. Mkt. Value
~ ~ND ~P. TOTAL ~TE ~KS
Till~bl~ F~ONTAG~ ON
~ . ~ ~ ~O ~ ~ FRONTAGE ON ROAD ~ ~
~ DEPTH
~ /~ /~ BULKH~D
Total , . ~
vl. Bldg.
+~ -
~xtensi°n
~xtension~ I~[~= ~O 5~ 51S~ Ext. Walls ~ ~ . Interior Finish
~xtension
e,~.
~orch 5~24:~0 ~ ~0 Pool Attic
)eck Patio Rooms 1st Floor
Ireezeway Driveway Rooms 2nd Floor
).B.
Town Hall Annex
54375 Main Rood
P.O. Box 1179
Southold, NY 11971-0959.
D BY:
Name:
BUILDING DEPAR~
TOWN OF $OUTHOLr~
APPLICATION FOR ELECTRICAL INSPECTION
Telephone (631) 765-1809_
.roRer. dchert('~,t~ (wn~.Is) o7 u~o~.ny:.us
/
Date:
No.:
No.'
JOBSITE INFORI~ATION: (*Indicates required information)
Tax Map District: 1000 Section: Block:
*BRIEF DESCRIPTION OF WQRK (Please Print Cle,ady)
(PI.ease Circle All That Apply~*"~ / ' ~Z
*Is Job ready for inspectiOn: ' ' '/~0/NO Rough
Temp 'Information (If needed).
*Service SiZe: 1 Phase 3Phase
*New Service: Re-connect
Additional InfOrmation:
.... #,q-/b
100 150 200 300 350 400
Underground Number of Metem Change of Service
PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form
Other
Overhead
Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 119714)959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (631 ) 765-9502
Telephone (631 ) 765-1802
August 8th, 2006
Martha Geissinger
6 Stuyvesant Oval
New York, N.Y. 10009
RE: 1020 Old Farm Rd.
SCTM# 025 0005 011
Dear Ms. Gessinger,
Please be advised that your Building Permit #25015 issued July 13th, 1998 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 Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631 ) 765- 1802
Fax (631) 765 9502
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
March 17th 2010
FINAL NOTICE
Martha Gessinger
Monico Mayper
6 Stuyvesant Oval Apt 4-b
New York, N.Y. 10009
RE: 1020 Old Farm Rd. (In Ground Swimming Pool)
SCTM: # 1000-25.-5-11
To Whom It May Concern:
Please be advised that your Building Permit # 25015 issued .Tuly 13th, 1998 has expired.
According to the Code of the Town of Southold, a Certificate of Occupancy must be
issued before the use of the structure.
To renew your Building Permit's please submit a fee of $250.00: at that time we can
schedule an inspection by one of our Building Inspector's. PLEASE .SEE ENCLOSED
REGARbING SWIMMING POOL CObES.
If you have any questions, please call us at 765-1802.
Respectfully,
SOUTHOLb TOWN BUILDING bEPT
1" LONG WELD
W/ALUIVL
COATING (TYP.)
VINYL LINER
10-32x%" SELF
DRILLING SCREWS
SPACED @ 12" C.C.
CONCRETE OR WOOD DECK
UP TO COPING (BY OTHERS)
SLOPED AWAY FROM POOL
PANEL STIFFENER (Beyond)
LONG STEEL ANGLE
'A' FRAME BASE
~"-16x1" BOLT,
NUT, & 2 WASHERS
STEEL WALL
PANEL
STEEL ANGLE
DRIVE STAKE
SAND OR VERMICULITE
AGGREGATE (MIX)
HARD BOTFOM
MOUND WITH
CONCRETE
MIN. 1 SQ. FT.
UNDISTRUBED
EARTH
18" LORG STEEL
REINFORCING
ROD DRIVEN
INTO UNDISTRUBED
EARTH THROUGH
HOLES IN BOTFOM
OF PANEL
SHORT
STEEL
ANGLE
TYPICAL WALL SECTION AT A-FRAME
1" LONG WELDS
ON SIDE OF PANEL,
WELDED TOP AND
BOTTOM AS SHOWN
(COAT WELDS WITH
"GALVA- KOTE")
"IMMEDIATELY"
ENCLOSE POOLTO CODE
UPON COMPLETION
BEFORE "WATER"
UNDERWRITERS CERTIFICATE
: - REQUIRED
12" STAIR WALL TOP CORNER FILLER
OR [ AND VERTICAL - WORKING
I- ,, -~ ....... / POINT FOR
I 13'/~.[~_~ .... r,gL=r~ ~/ POOL
~ U ~ J % '16xl/2 LG. BOLT~/~ DIMENSIONS
I ~ WASHER & NUT ~,-~ .~r~J ~.
.... / CURVED VERTICAL ~- I~ .,- I
,-- F, LLER TO .E"EVE
DETAIL #1 LINER. BOLTED WITH
5/1 6" DIA. CARRIAGE BOLTS
DETAIL #2
CORNER CONNECTION DETAIL
IS:LANDIA .POOL.S ~rson, v s.~rzsocz.~,vsxz ....
P
OPTIONAL
-I
STEP
T
FILTER ~ PUMP& MOTOR
~,~,~-~' .~'Y ..:
P~N VIEW OF POOL WPICAL "A" FRAME
& BASE
MANDATORY ROPE & FLOAT
12" FROM TRANSITION
:
AGGREGATE (MIX)HARD BO'H'OM
LONGITUDINAL SECTION
NOTE: APPROX. VOLUME
OF POOL IS BASED ON
· WATER LEVEL BEING
~.6' FROM TOP OF LINER.
'[YPE I,POOL-
NO DIVING BOARD
'IYPE I1 POOL-DIVING
BOARD F:ERMI'rrED
1WPE III POOL-DMNG
BOARD PERM f1'r'ED
OLD' FARM-
Re t'..'~ RI.O- 96-0033
SUR VE Y OF
LOT 9
"BA YVtEW FARM"
FILED JAN.. 19, .1982 FILE NO. 7045
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
Nov. 14', 1997 (firml)
NOV. 17,1997 (revision)
CERTFrr_O TO.
COId&lO~d~L TH LA~D
t-. ' ': .~:~pT. A~j .l>gR ~CTION ~ SUBOP~.~4)N 2. ALL cERTIFICATIONS
ROAD · ..~_~,,~ ,~, ~, ,,,s ,,~ ,~ ~,, ~,,~ ~, ,F
· ; ': '- :. ': ...'~L; ':: :
~ ~ LIC.
/ ,~ :~;~ ,.c.
1230 TRA rEL"ER STREET
SOUTHOLD, N.Y. 11971
NO. 49618
97- 286