HomeMy WebLinkAbout35901-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34822
Date: 01/26/11
THIS c~KTIFIES that the building SWIMMING POOL
Location of Property: 450 STIRLING WOODS LJ%NE
(HOUSE NO.) (STREET)
County T~x Map No. 473889 Section 88 Block 2
Subdivision
Filed Map No. Lot No.
SOUTHOLD
{HA~4LET)
Lot 15.4
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 10, 2010 pursuant to which
Building Permit No. 35901-Z dated SEPTEMBER 28, 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 PETER & MARISA ROSENTHAL
(OWNER)
of the aforesaid building.
SuF~OLKCO~NTYDEPARTMENT OF H~ALTHAPPRO~AL N/A
~.R,JrKICAL CERTIFICATE NO. 35901 11/08/10
pLU~aERS CERTIFICATION DA'r~u3 N/A
+/uth~~ature
Rev. 1/81
FOItM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 35901 Z
Date SEPTEMBER 28, 2010
Permission is hereby granted to:
P & M ROSENTHAL
450 STERLING WOODS LA
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN INGROLrND SWIMMING POOL, FENCED TO CODE AS
APPLIED FOR
at premises located at 13455
County Tax Map No. 473889 Section 088
pursuant to application dated SEPTEMBER
Building Inspector to expire on MARCH
MAIN BAYVIEW RD SOUTHOLD
Block 0002 Lot NO. 015.004
10, 2010 and approved by the
28, 2012.
Fee $ 250.00
ORIGINAL
Rev. 5/8/02
Form N~. 6
·OWN O~ $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOUEHO[D
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey °f Property with accurate location of all buildings, p.roperty lines, streets, and unusual natural or
topographic features.
2. Final 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 from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple msideace~ and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Pl.anaing Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses:
1. Acculate survey 0f pr0perty showing all property lines, streets, building and unusual nstural or topographic
features.
2. A properly completed application and consent to inspect signed by the apPlica{tt. If a Certificate of Occupancy is
denied, the Building Inspector shall state the masons therefor in writing ~o the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming PO01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00
Hew Construction: ~// Old or Pre-existing Building:
L°cafionofProPerty: I13qS$ gcq EocO !
House No. tO Street
Owner or Owners 0f Property: ~ 6bt,'~ ~'~L~gC;L_
· Suffolk Cotmty Tax Map No 1000, SeCtion ~ ~ .Block
$ubdiyision ~'
p~mit bio. · o,~ '7 c, ~- -" ~Date o~ l~emut.
Health Dept. Approval:
Planning Board Approval:
Date. ~tlx~ Z2/ ac, II
(check one)
Huml et
Request for: Temporary Certificate
Fee Submitted: $ ~) /
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY I 1971-095!I
Telephone (ti31) 763d802
Fax (631 ) 765-9502
roger, richert~town.southold.ny.us
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Peter Rosenthal
Address: 450 Steding Woods Lane City: Southold St: NY Zip: 11971
Building Permit#: 35901 Section: 88 Block: 2 Lot: 15.004
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: License No:
SITE DETAILS
Office Use Only
Residential ~ Indoor ~ Basement ~ Service Only ~
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt
Main Panel NC Condenser Single Recpt
Sub Panel NC Blower Range Recpt
Transformer Appliances Dryer Recpt
Disconnect Switches Twist Lock
Other Equipment:
Ceiling Fixtures [~[~ HID Fixtures
Wall Fixtures I I Smoke Detectors
Recessed Fixtures CO Detectors
Fluorescent Fixtur(iJ~ Pumps
Emergency Fixture Time Clocks
Exit Fixtures L_J TVSS
swimming pool to include, bonding, 2 GFCI circuit breakers, I control panel,
pool lights, cover motor
Notes:
Inspector Signature:
Date: Nov 8 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
DATE
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGHPLBG.
FOUNDATION 2ND [ ]I~**ATIOI~~
[ ] FRAMING/STRAPPING [l/] FINAL ~
[ ] FIREPLACE&CHIMNEY [ ]FIRESAJ-,',flNSPECTION
[ ] FIRE RESISTANT C4XiSTRUCTION[ ]FIRE RESISTANT PENETRATION
REMARKS:
DATE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined
Approved
Disapproved a/c
~:a/~, 20 fO
Expiration
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 1/
Check ~
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
( B~'ifding Inspector
APPLICATION FOR BUILDING PERMIT
Date p.~d.) ,20./~)
INSTRUCTIONS
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
issue~ 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, Suftblk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or dexnolition 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.
"lM g01K ELY"
ENCLO3~ pOCL- '0 CODE
UP,}/``) Cc,,q Pi.F_.TfON
BEFO~ F~R"//
State wh ticaht is lessee, general
REQUtR==
Nameofownerofpremises%P~7'~--Td a. /-/~/5~ T_oSF_Mz74,q/_
(Signature of applicant or name, if a co~oration)
(Ma lin~addr~s ofa~plic~nt)
contractor, e~~mber or builder
DATE~D ~.~.
FEE: '
(As on the tax roll or latest d~j:SL"U'u~ DEPARTM-E'~¥ ^~-
If applicant is a coroor, ation, signature of duly amh~iaed~fficer r0t~g~°~.,,~
- ' - FOR ' ' ~ REQUIRED
Electhcians License No. ~'o ,.,r NCy
Other Trade's License No. ~ CONs~
REQUIREMENTS OF THE CODES ~NEW
. YORK STA~. ~T RES~/BLE FO
1. Location of land on which proposed work wfl] bc done: ~SIGN OR CQNS~ ...... R
House Number Street Hamlet
OF THE TOWN COO
CoumyTaxMapNo.]O00 Section Block g°tLo L 2t-
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy _ff ~-',a,t~" ,w'-~. ~,~s,,z~'~.,~'~-
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair. Removal
4. Estimated Cost,-~
5. If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Demolition ~/,~_;3,7 ,-~,~,~
(Description)
Fee ~,~5~, t)o
(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 _,~' Numberof 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
9. Size of lot: Front /'3'-,~ ~ Rear /:5-..~. y,7
Rear .Depth
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.V'
13. Will lot be re-graded? YES ,3e NO Will excess fill be removed from premises? YES__ NON'
14. Names of Owner of premises ~2~s~-~t Address~hone No.
Name of Architect Address "q"~'~'~ ~' Phone No
Name of Contractor ~m.,~ ~_~-fi z.~:D Addressqvo ~ 9 a,~e,-,~e' Phone
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. ls this property within 300 feet ora tidal wetland? * YES__ NO ~
* 1F YES, D.E.C. PERMITS MAY BE REQUIRED.
NO ~
16. Provide survey, to scale, with accurate foundation plan and distances to propert~.~in.es.
17. If elevation at any point on property is at 10 feet or below, must provide topo~phical data on survey~~
18. Are there any covenants and restrictions with respect to this property? * YES
· IF
NO
STATE O !~.. ~NEtJC'¥OI?d~.)
SS:
COUNTy OF .. '
'~'-/~,~3.'~_"'. ?9~J.~17~.~ ~ ' being duly sworn, deposes and says that (s)he is the applicant
(Na~of~i~i,sj~ing'c6ntra~t) above named,
(S)He is the
' '"~' '& ' ¢ 7 ,~C~lract°r,., . Agent, Co¢o~te Officer, etc.)
of said oWner or'owners, aCd is duC, authorized to peffom or have perfomed the smd work and to make and file ~s apphcauon;
that all state~¢l~ cCg~a~ ~,~;~lib'htion ~e tree to the best of his ~owledge and belief; and that the work will be
perfo~e3',ih t~h~';r'~ fo~ ib~th[ a~plication filed therewith.
Sworn to befor~his
'~- Nota~ PubY~ Oun~I~ ~ Signature of Applicant
~ Term ~'ires May 31, ~ '
Town Ilall Annex
54875 Main Road
P.O.B~ 1179
· .Ikm~ld, ~ 11OTl-0~
Tel~ho~c (~1) 76s-18o2
6~1 7
J~EQUESTED BY:
)any Name:
No..'
BUILDING DF.,pARTMENT
TO~ OF SOO'l~OI.n
.,APPLICATION FOR ELECTRICAL INSPECTION
Date: .!(~-~C.)21 _(~ .
*Name:
*Address:
*Cross Street:
*Phone No.:
Permit No.:
Tax Map District:
JOBSITE INFORMATION: (*IndiCates required information)
*BRIEF DESC~PTION OF WORK (Please Pdnt. Cl~) {~ ~~
· (Please Cimle Alt That Apply)
*Is job ready for inspection:
.,Do you ncc'da Temp Cell~ficate:
Temp'lnformation (If needed},
*Service size: 1 Phase 3Phase
*New Sel'v{ce: Re-connect
Additional Information:
Rpugh In '
100 150' 200 300: 350
Underground Number of Meters Change of Se~ice
PAYMENT DUE WITH* APPLICATION
Final
400 Other
. yow___ n Southold
Eros,on, SedEmentat,on & Storm-Water Run-off ASSESSMENT FORM
PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF ,$
Section I~fock
STORM-WATER~ GRADINGr DRAINAGE AND EROSION CONTROL PIJ, H
CERTIFIED 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)
Yes No
1 Will this Project Retain AIl Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site?
(This item will include all mn-off created by site clearing and/er construction activities as well as all Site
Improvements and the permanent creation of impervious surfaces,)
2 Does Ihe Site Plan and/or Survey Show MI Proposed Drainage Structures Indicat ng Size & Location? ./' r~
This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowI
Y_
3 Will this Project Require any Land Filling, Grading or Excavation where them is a change to the Natural
Existing Grade ~nvolving more than 200 Cubic Yards of Matedal within any Pamel? ~ --
4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r'~
Five Thousand (5,000) Square Feet of Ground Surface?
.Y__
5 Is there a Natural Water Course Running through the Site?
Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach?
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to
One Hundred (100') of Horizontal Distance? '~...-
7 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off
nto and/or in the direction of a Town right-of-way? ~ --
8 will this Project Requim the Placement of Material, Removal of Vegetation and/or the Construction of r'~
any Item Within the Town Right-of-Way or Road Shoulder Area?
(This item will NOT include the Installation of Driveway Aprons.)
9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodp a n of any Watercourse?
NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Eox, a Storm-Water, Grading,
Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Pennitl
EXEMPTION: Ye.__~.s
Does this project meet the minimum standards for c ass ficafion as an Agricultural Project?
Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan is NOT Required!
N~o
STATE OF NEW YORK,
COUNTY OF ........................................... SS
That I, ....~: .~-ff/~.~ ........ ~-4z'....~/(fl~.. ....................... being duly sworn, deposes and says that he/she is die appl/cant for Permit,
(Name of ~ndivldual signing Documenl)
And that he/she is the
(Owner, Contractor, Agent, Co.orate Officer, etc.)
Owner and/or representaQve of the Owner of Owner's, ;md 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 true to the best of tfis lanowledge and belief; and
that the work will be performed in the manner set forth in the application filed herewith.
Sworn to before me this;
......................... .........
Term Expires May 31, '
Town ttall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Tclel~h(me (tiS1) 763-18()2
Fax (631) 76.'3-9,102
B1.4LDING I)LPARq MLN 1
TOWN OF SOUTHOLD
January 5,2011
Peter Rosenthal
201 E 80th St, Apt 12F
New York, NY 10075
RE: 13455 Main Bayview Road, Southold
TO WHOM IT MAY CONCERN:
The Following Items Are Needed To Complete Your Certificate of Occupancy
Application of Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate.
A fee of $50.00.
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:: 35901-Z swimming pool
~ AT SOUTHOLD ,~.~
SUFFOLK COUNT~ N. Y. .~/ ~ ~
~BRUARY 2, 2009 ~ ~ - ~ ~ ~ ~ ~
~ ~ CER ~FIED TO: ~ . I
I om familiar with the STANDARDS FOR APPROVAL ~ PE~R ROSEN~AL ~ ~'~
AND C~S~UC~ON OF SUB~RFACE SEWAGE ~ MAmSA ROSEN~AL ~~,~
DISPOSAL S~MS FOR ~NG~ FAMILY RESIDENCES ~ S~WART ~E INSURANCE C~PANY / ~4E~+~
and will abide by the conditions set forth th~ein and on the - / /~' -'~ ~ I
The location of wells and cesspools shown hereon are ~ ~~:~
~ ~C~ 720~ ~ ~g NEW Y~K STA~ EDUCAn~ LA~ ' (6312 765--~~J12 /o~--~ l,
~x~PT AS PER ~C~ 7209-S~8~1~ 2. ALL CER~FICA~S P.O. ~OX 909 ~
POOL DIMENSIONS
¥
TYP. PANEL STIFFNER
STAKE
TYPICAL WALL SECTION AT 'A' FRAME
POOL PLAN
A
H G
CORNER CONNECTiO_N DETAIL
F
;ECTIONS
MIN. 2" THICK VERMICULITE
AGGREGATE TAMPERED
E
K L M
DIVING BOARD
N.T.S.
POOL COMPUES WITH ANSI 514, APENDIX G
DESIGN IS ACCEPTABLE FOR
ALL COMMON SOIL CONDITIONS
POOL TYPE: RECTAGLE ~ REV.
JAMES DEERKOSKI, P.E.
260 DEER PATH
MA3-rlTUCK, NEW YORK 11952
t S~ALE N.T.S.
DATE
DRAWING NUMBER
OF