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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