Loading...
HomeMy WebLinkAbout35065-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Yo CERTIFICATE OF OCCUPANCY No: Z-34596 Ikate: 10/06/10 THIS u~TIFIES that the building INGROUND SWIMMING POOL Locatlcm of Property: 875 WEST COVE RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) Co%u~ty Tax Map No. 473889 Section 111 Block 3 LOt 18 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 2009 pursuant to which Building Permit No. 35065-Z dated OCTOBER 9, 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 ROSS & DONNA MONGIARDO (OWNER) of the aforesaid building. SUFMOI~( ~I~%~I"fDEP~ OF }~A~TH~PRO~-AL N/A ELECTRICAL ~KTIFICATH NO. 12081 01/14/10 I~ERS U~KTIFICATION DA'r~u3 N/A ~~A j/d Si~ature Rev. 1/81 + SUFFOLK 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: Raymond Electrical Certificate No.: 12081 Rough In Inspection Date: .]an 14, 2010 Final [nspection Date: 3an 14v 2010 Application No.: 12081 Building Permit No.: 35065 County Tax Hap No.: 473889 111 0003 018 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: Ross and Donna MongJardo Site Location: 875 West Cove Rd., Cutfhogue, NY 11958 Owner's Address (if different): L_~ Residential r~ Indoor I_~] Basement [] Service [] Shed Commercial [] Outdoor ~_~] First Floor [] Pool [] Hottub New [] Renovation [~i~ Secohd Floor ~-~ Attic [] Garage Addition [] Survey Other: INVENTORY Single Phase Heat pool Duplex Recpt Ceiling Fixture HID Fixtures Three Phase Hot Water GFCI Recpt 1 Wall Fixture Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect Sub Panel AC Blower Range Recpt Flourescent Smoke CO Combo Transformer Appliances Dryer Recpt Emergency Time Clock Disconnect Switches 2 Twist Lock Exit Fixtures Pumps GFCl Breaker 1 Heat Pump Electric Heat Pool Luminaire 1 Exhaust Fan Other Equipment; pool bonding 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: Roger Richert License No.; Date Of Certificate: Sep 22,2010 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. 35065 Z Date OCTOBER 9, 2009 Permission is hereby granted to: R MONGIARDO 875 WEST COVE RD CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN INGROUND SWIMMING POOL FENCED TO CODE AS APPLIED FOR at premises located at CUTCHOGUE County T~ Map NO. 473889 Section 111 0003 Lot No. 018 pursuant to application dated OCTOBER 5, 2009 and approved by the Building Inspector to expire on APRIL 9, 2011. 875 WEST COVE RD Block Fee $ 250.00 /v Autlao-r i z e d Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1502 APPLICATION FOR CERTIFICATE OF OCCUPANCY ThiSA. Forapplicati°nnew buildingmUSt beorfillednew use:in by typewriter or ink and submitted to the Building Department 1. Final survey of property with accurate location of all buildings property lines, streets, anq firm~'~'t~ral or topographic features. ~ ' ~ I 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 therefor in writing to the applicant. C. Fees 1. Cemficate 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. q ~ Z.c/~ lo New Constmction: Location of Property: Old or Pre-existing Building: (check one) House No. Street Hamlet OwnerorOwnersofProperty: "~( [ ['"~o.%~JA IMo,.",J¢'AgQ~ Sultblk County Tax Map No 1000, Section [ ~ [ Block Subdivision Filed Map. Permit No. % ~'Ot~5-~ Date of Permit. Health Dept. Approval: Applicant: Underwriters Approval: Lot [ '~ Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~_~ '-5. ~Fo Final Certificate: (check one) / TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ROUGH PLBG. [ ]I~LATION FINAL ~ ~-~ ~l~ a ~'~ [ ] FIRE SAFETY INSPECTION REMARKS: ] FIRERESlSTHi'rC0~TRUC'rl014 [ ] FIRERESlSTH~I'PENETRATION .--. DATE ~S~'F'C'noN~,E~O~T D~T~ ] COUNTS ~O~A~ON . RO~ ~ & PL~G ~8~A~ON P~ N. Y. STA~ E~R~ GODE ' ~ ~D~ION~ COmNTS ©5-!5-09;15:87 ; TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SontholdTown.Nor th Pork.net Approved ............... Expiration OCT 5 2009 BLDG. DEPT .... a ileal )'OWN OF SO~THpLi)' lras pp. no. 97448292 ; # l/ 2 BUILDING PERMIT APPLICATION CHECKLIST Do you h,ve or need the following, beforc applying'? Board of I4ealth Phone: ttql 8 'ing Inspac x APPLICATION FOR BUILD~G PER~T ~STRB CTIONS m ~JST be completely filled in by ~ewfi;er or m ink and submitted to tbe Building [nspector with 4 lot pl~ to scale. Fe~ ¢¢cording to seb~ulc. b. Plot plan showing location of lot and ofbuildthgs on premises, relationship to adjoining premises or public streets or areas, and water,rays. 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 I~ kept on the premises available for inspection throughout the work. e. No building shall bo occupied or used in whole or in part for any purpose what so ever until the Buildthg Inspector issues a Cealiflcate of Occupancy. f. Every building permit shall expire if th,; work authorized has not commenced within 12 months al~er the date of issuance or has not been completed within 18 months fi'om such date. If no zonthg amendments or Giber regulations aftEctthg the property have been enacted in Ibc interim, the Building Inspector may auibori~, La writing, the extension of the permit for an addition six month~. Thereafler, a new permit shall be required. APPLICATION IS I-LEREBY MADE to the Building Dcpmtment for Ibc issuance of a Building Pemlit purmm~t to the Building Zone Ordinance of the Town of Southold, Suffolk CountT, New York, and other applicable Laws, Ordinances or Regulations, for the construction o£buildings, additions, or alterations Gl for removal or demolition as h).~eln described. The applicant a,~rees to comply with all app. lieab!e ?wa, ordinances, ~uildinf~ cod%halrin'erg code, and regfilati~ns, and to admit authorized mspector~ on prom, ses and m bu,ldmg for n*cessa'y mspect,on~/// //~/ ............. / \ (S~ga~re ~ applicant or name, ifa corporation) (Marling addr~ of appl(caal) State whether applicant is owner, lessee, ageut, architect, engine, er, general contractor, electrician, plumber or builder Namcofownerofpremises ~(~OS S ~[~on 5 I'OO('dO (As GU the tax roll or latest deed) If applicant is a co~,oration, signatm'e of duly authorized officer (Name m~d title of corporate officer) Builders License No. ~ k~JC I ~ t4 Plumbers License No. Electricians License No..~[[ ~ Other Trade's License No. CoantyTaxMa~pNo. 1000 ection ~ i1 Block Subdivision [JF[DITSO JO' ..q.t Id Filed Map No. _ Al L CONe' : CODES OF NEt, :~,';,..,;tATE. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. UNDERWRITERS CERTIFICATE REQUIRED 'tldMEDIATELY" ENCLOSE P,:OL 70 CODE UPON COMPLETION BEFORE "WATER" UNLAWFL!L ' V!TH(.',,LtT CERTIFICATE :- DATE- /c ~ )* ,' NO'FiF¥ Bb!L5,. '~;'/~EI~!'I' AT 765.1802 8Aid 4*i.d FOR THE FOLLOWING INSRL ' 1. FOUNDATION . '~, ) REQURED FOR POURE)m3C ;CF;EiE 2. ROUGH - FRAdP;3 & PLUMBING 3. INSULATION 4. FINAL. CONS~R~JOTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTK)N SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR 6ONSTRUOTIO~ ERRORS. 05-15-091~5:57 ; 97448292 ; # 2/ 2 2. Sta~eexisthiguseand~c~upa.n~y~fprerdisesandinter~a~duse~nd~anpp~y~f~r~p~sedc~nsm~t~n a. Existing use and occupancy ~ ~ ,B ~/<~r~'~ ~-~ 3, Nature of work (cheek which applicable): New B~,~ff~g ~O01 Addition __ Alteration Repair Removal Demolition Off, er Work (De*cription) 4, Estimated Cost -~ I~000 ~' Fee (To be paid on filing this application) 5, If dwelling, number of dwelling milts Number of dwelling units on each floor If garage, number of cars ............................ - ............................ 6, If business, commercial or mixed occupmtcy, specify natare and extent of each type o£ use. 7. Dimensions of ex/shng structures, if'any: l~ront Rear Depth Height_ Number of Stories --' Dimensions of same structure with alterations or additions: Front Depth Height_. 8, Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot; Front .Rear Depth 10. Date of Purcha~se Name of Former Owner Number of Stories Rear ............. Depth ......................... 11. Zone or use district fl~ which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO / 13 Will lot be re adedPYES ~ ' ' ' · -gr . ___ NO ......... Will excess fill be removed from pr~nises? YES NO / 14. NamesofOwnerofpr ises ~OS~ ~dtl,~ld~ddross PhoneNo,~ib- 2q g- 5- ~8 Namso£Arohitect ~n~.)OOhrt%gv'~ ~ddress tl6Lqg'e-~-.~q/~honeNo' '~at~.lO/-q NameofConttactor .~, nil ,cfT~od. dc~..t~ Address .~"i'~ ~4(Zdm PltoneNo, -It-lq- ~-tO~' -- 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater w~etland'!*YES NO --../ * tP YES, SOUTHOLD TOWN TRUSTEES ~ D.E.C. PERMITS MAY BE R~QUIRED. b. Is this proper~y within 300 feet ora tidal wetland? * YES NO ~,~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide amvcy, to scale, with accurate foundation plan and distances to propei~y lines. 17. If elevation at any pdillt on propelty is at 10 feet or below, must provide topographical data oil survey. 18. Aro thoro any oovenants and restfictiOll~ with respeot to this prOp¢l~y? * YE8 NO ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COCINTY OF f._ .~%,.0~_ fica.~ ~.![~.{~[._ ..~Lr{¢_~ ~tdy SwO .O, d(.~poses and says that (s)h, is the applicanl ~e ofin~vidual ~i~ing con.ct) above n~d, (Contractor, Agent, Corporate Officer, eta.) of said owner or owners, and is duly author/zed lo I~rform or have performed thc said work and to make and file this application; that all statements contained in this application are tree to the best &his knowledge and belie£; and that the work will ge performed in the manner sci forth in the application filed therewith. Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM A. Does this project meet the minimum standards fol' classificatiata~ an Agricultural Project. Not,: If you: answarad Yos to any of tho abova, a Storm-watar, Grading, DrainaDo & firoslon Control Plan Is .ct required. ACTIONS REOUIRING THE SUBMISSION OF A STOR1VI;WATER~ GRADING~ DRAINAGE & EROSION ~ONTROL PLAN CERTIFIED. BY A DESIGN. PROFESSIONAL IN THE STATE OF NEW YORK, Item Number: (A Check Mark (4') for each question is required for complete application) Yes ~0 Will this project retain all Storm-Water Run-off generated co Site7 (This will include all run-off created by site clemSng and/or construct/on activities as xvell as all Site Improvements and the permaneut creatiou of impelwiOus surfaces.) Will this project require any land filling, grading or excavatiou where there is a challge to natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbing actixdties encoml>assmg au at ea of five thousand (5,000) square feet of ground surface or mole? Is there a Natural Water course minting through the site or is this p~ oject withiu One hundred (I003 feet of wetlands or a beach? Will there be site preparation on slopes which exceed flfteen (15) feet of vertical Use to One hundred (100)feet ofhohzontal distance? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Will this application require'the placement of material, removal of vegetation and/or the construction of any ~tem w~thm t ~e Tmw~ RSght-of-Way or road shoulder area? (This Item does not include the installation of driveway aprons.) Will there be site preparation within the one hundred (100) 3,ear floodplain of any watercom'se? 1_~_..I If any answer to questions ~ne through *ight i~ auswemd with a cheek mark in tbs Box, a Storm-water, Grading, DraIna~ & Erosion Control Plan is required and musl bs submfftsd lot revlew prior to issuaneo o~ a'ny building permit STATE OF NEW YORK, C~.~UNT~ OF TMtl, C ~{~. t:-~'~l"". ~01~~-E ~-'~ betng' duly swonl, ~ieposes and says flirt he/she is tim applicanl fo, Peru/il ~ame of individual si~ing Document) ~d that He/She is the .... Oi~e~ all,of representative of the Oxm~er or and file this application; that all statements contained work sill be performed h~ the mamm~ set fodh b~ the application filed he~ewid~ Swam to before me this; OWNER FOPJ~4ER ~W~ ER~ TOWN OF SOUTHOLD I~ROPERTY RECORD CARD STRE~ ~-'?~ v,~GE O,STR,CT SUB. N E ^CREAGE,/~ S W TYPE OF BUILDING Est. Mkt. Value RES. LAND SEAS. IMP. TOTAL IL. ~;) FARM COMM. IND. CB. MISC. BELOW NORMAL DATE REMARKS ABOVE FRONTAGE ON WATER Farm Tillable 1 Acre Value Per Acre Value FRONTAGE ON ROAD BULKHEAD Tillable 2 Tillable 3 Woodland Swampland DOCK Brushland House Plot Total Basement Fu t/ Floors ~ ~/E Ext. W~lls Wg~Z Interior Finish Fire Place Heat Porch R~{ Type Porch R~ 1st Flor Driveway Dormer P.O. Box 117!) Soudlold, NY 11971-09.5!) Tclcphont' (ii:H) 7~13-1802 Fax (ii:H) 7(i5-9502 BI :ILI)IN(; I)I'~PAI~TMI';NT TOWN OF $OUTItOLD September 21, 2010 Ross Mongiardo 110 Wetherhill Road Garden City, NY 11530 RE: 875 West Cove Road, Cutchogue TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: Application of Certificate of Occupancy. (£nclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 35065-Z swimming pool I.D. No. No_ 98-.32 I 77' OESNN GRAF P L b , P C P 0 ~OX 704 3CK"r P©lqT NEY,' FORK ;1775 LOT I9 var widt~ ] CEL~:LT'I~I~D ONUY TO: Koss Moagimm~ & D~una. Mougizrdo FideEty Na~ioaaI T'~¢ Comp,~ny of New yo~.~ VI~Y- P kfP'l~ OS g C°~vc9 anca °f Pr°Pert~ FILE ~d= No. 763 AJ?K[L 2~, 1930 SURVEY OF: LOT 20 P-~VISED SUBDF'FISION PROPERTY OF A~ONZO 5ERSEY PECO~C, TOWN OF SOUTH-OLD SUFFOLK COUTCf~, N~W YOP,5~ SURVEY DATE: i0/10/2008 SCALE: ["=30' 36' 24' 12' FOJ~IED CONC. STEPS7 ~ECT~Oh~ IB A ,SECTION B 1 0" FOP. M TIE5 )500 P51POl~P VINYL LINER 2" I'0 ~" 5/~lP -- WALL SECilOB 05-22-05 22' 14' CHECK VALVE I ~ CHECK VALVE NOT TO S~LE : ' ~ ~ _: ..... ~ NEWYORKSTATE-2007ANPTHEANSI/NSPI-519~STANDAEDSFORR~IDENTIAL WATER LINE ~ ~ . ~ ~ z~ OFBACKFILLTO~CEEDTHEHEIGHTOFTHEWATERiNTHEPOOLgYMORE~ANS', LINER AND CONCR~E ~ 5. WAL~ TO BE SMOOTH, NON SKID ~PE, SLOPEDAWAY FROM POOL :" -~ NYL LINER ~ ~ 8. PROPER~ OWNER iS R~PONSIBLE TO INSTALL PE~NENT FENCEA~UND POOL · ,. r ~ COMMENCEMENTOFCONSTRU~ION S ECTI ON B WALL SECTION ~. A TEMPO~RY ENCLOSURE· OR4 ~ FENCE SHALL gE INSTALLEDANP RE~IN IN UNTIL THE COMPL~ION OF A PER~N ENT ENCLOSURE. 22' 14' CONCRETE STEPS ~  CONCRETE WALLS ~ ~- ,~ 8' H20 3'-8" H20