HomeMy WebLinkAbout34889-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
3/7/2011
CERTIFICATE OF OCCUPANCY
No: 34853
Date: 3/7/2011
THIS CERTIFIES that the building
Location of Property:
SCTM ti: 473889
Subdivision:
IN GROUND POOL
1200 SKUNK LA CUTCHOGUE,
Sec/Block/Lot: 97.-3-11.7
Filed Map No.
conforms substantially to the Application for Building Permit heretofore
7/27/2009 pursuant to which Building Permit No.
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:
In ground swimming pool with fence to code as applied for.
Lot No.
filed in this officed dated
34889 dated 7/27/2009
The certificate is issued to
Heffeman, Dennis & Heffernan, Suzanne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
34989 11 / 15/10
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. 34889 Z Date JULY 27, 2009
Permission is hereby granted to:
DENNIS & SUZANNE HEFFERNAN
P.O. BOX 464
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN INGROIIND SWIMMING POOL IN THE REQUIRED REAR
YARD FENCED TO CODE. REPLACES EXPIRED BP # 32889
at premises located at
County Tax Map No. 473889 Section 097
pursuant to application dated JULY
Buildin9 Inspector to expire on JANUARY
1200 SKUNK LA CUTCHOGUE
Block 0003 Lot No. 011.007
27, 2009 and approved by the
27, 2011.
Fee $ 250.00
Authorized 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
COMPLETION OF THE WORK AUTHORIZED)
UNTIL FULL
PERMIT NO. 32889 Z Date APRIL
9, 2007
Permission is hereby granted to:
DENNIS HEFFERNAN %
1200 SKUNK LA
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR
YARD, FENCED TO CODE
at premises located at 1200 SKUNK LA
County Tax Map No. 473889 Section 097
pursuant to application dated APRIL
Building Inspector to expire on OCTOBER
CUTCHOGUE
Block 0003 Lot No. 011.007
6, 2007 and approved by the
9, 2008.
Fee $ 250.00
Au~fhori zed Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Depmlment with the following:
A. For new building or new use:
1. Final survey °f pr°perry with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features. '
2. Final Approval from Heaith 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 PI..arming Board Approval of completed site plan requirements.
B. FoE existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey 0f pr0pertY 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. Ifa Certificate &OCCupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occu]~ancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
~~ccessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Ce~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 $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
(cheek one)
House No. Street ' Hamlet
· sufrotk Cotmty Tax.map No 1000, S tion 7 7
8ubdixdsion '
Permit No.. ~ <$~' Date of Permit.
· Block --~ Lot //. '7
F/led Map. Lot:
Applicant:. ~c_~/~][~ ~C5~/ /~)~ [Q
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 5~_~0:2~
Underwriters Approval:
_ Final Certificate: (check one)
ILO. Box 1179
k;outhol(l. Nh' 1197
Tclcpholic (631 ) 763- l:;tx (631)
ro.qer r chert~town.southold.n¥.us
1½! ql,l)lN(; 1)I,]I~ARTM1,]NT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
ssued To: D&S Heffernan
1200 Skunk La City: Cutchogue St: NY Zip:
Permit #: 34989 Section: 97 Block: 3 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
Commefical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
Service 1 ph F
Service 3 ph
Main Panel
Sub Panel
Transformer
Disconnect
Other Equipment:
INVENTORY
Heat ~ DuplecRecpt ~ Ceiling Fixtures [] HID Fixtures
Hot Water GFCl Recpt Wall Fixtures ~ Smoke Detectors
NC Condenser Single Recpt Recessed Fixtures ~.~ CO Detectors
NC Blower Range Recpt Fluorescent Fixture ~ Pumps
Appliances Dryer Recpt Emergency Fixtures~.~ Time Clocks
Switches Twist Lock Exit Fixtures L~J TVSS
pool bonding, 20a recpticle for pool pump, control panel, I pool light
Notes:
Inspector Signature:
Date: Nov 15 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
REMARKS: f~ ~ ~ ~
DATE ~'~ ~"~ ~' ~2 ~' INSPECTOR.~:~
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
REMARKS:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
~/N~FI NAL
[ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~-/~- 0 ~
~~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 RESISTAI~I' PENETRATION
[ ] ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL)
REMARKS:
DATE
INSPECTOR~._~~~~
[FI~LD ]~I'ECTIONREFORT ] DATE [ COMMENTS
F OL~ATION (1ST)
FO~ATION (2~)
ROUGH ~G &
PL~G
~SULATION FERN. Y.
STATE E~RGY CODE
~D~ION~ COUNTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
PERMIT NO.
Examined
Approved
Disapproved a/c
,200 7
Expiration
/ Building Inspector
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
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
APPLICATION FOR BUILDING PERMIT
Date ~/~ ,20~7
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
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 of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectom on premises and in building for necessary inspections.
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE "WATER"
! L) '~ ~ r ' t- (Signature of applicant or name, if a corporation)
OCCUr OR
USE IS UN AWFULTM ,u,-
(Mailing address, of applicant)
WITHOUT
State whether applicant is owner, lesser,. ~e~t~.ar_ch,tek~t,~g[,~l contractor, electhci=, plumber or builder
uFucCUPANOY ,,
~ ~g~ DATE: .
(As on the tax roll or latest de~ B
If applicant is a corpoyatipn, ~gnature of duly authorized officer
' ~ -~qanYe and title of corporate (~fficer) ALL CONSTRUCTION SHALL
Builders License No. /~/&, ?-/-/ MEET THE q?2'L SEMENTS OF THE
Plumbers License No. COup,, U, ,~_~ ,~nK STATE.
Electricians License No. RETAIN S'"~P ',! .'llVi~.~,o e.v, o~
Other Trade's License No. PURSUAN? rrb SEC';]
: L ;qT~? THE
OF THE TQWN CODE. REQU,R ..... N . F ..... W
which proposed work wflltt~ffditt/~RS CERTIFICATE DESIG~I OR CONSTRUCTION ERFiORS.' O.
Location of land on . . ~ . YORK STATE. NOT ~,.:>PO~..,. t:
House Nmb~ Street Hmlet
County Tax Map No. 1000 Section .?~ Block ~ Lot //. ~
Subdivision-~'x.0~_% /¢~r~-~'~Rx.,¢/o Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy oq c<,r~oz~ >-~'
b. Intended use and occupancy_~ ~-~,~- ~'~.
3. Nature of work (check which applicable): New Building ~--~Additi°n Alteration
Repair Removal Demolition ~,~ther W~__~_gr, k)
4. Estimated Cost ~/~e. ,o/~. 0D
5. If dwelling, number of dwelling units
If garage, number of cars
(Description)
Fee ~q.5i9. ~g3
(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 ~_~ / Rear ,?~/
Height ~..'~' Number of Stories ~.ff
Depth
Dimensions of same structure with alterations or additions: Front
Depth_ Height Number of Stories
Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stories
9. Size of lot: Front /~-/, ~ ? / Rear c-~/~- 3r_) ' 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 X
13. Will lot be re-graded? YES )(' NO Will excess fill be removed from premises? YES NO ~-'
14. Names of Owner of premises-~aao~5 ,q~/=-?,~-~,o,~,o Address ~wo zz~,,,x z.4,~c-, corr. Phone No. ,/fi4
Name of Architect Address Phone No
Name of Contractor ,,,~/~: ~cu:5 z~'D, Address ~ ~o~. &.~,,~,~ Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~'
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES__ NO ~
* 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 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
· S :
COUNTY OF, :1.,/ff7~5.~
~L~-=~,~I ~5'- t/~-1'/17'~ being duly sworn, deposes and says that (s)he is the applicant
(Na~e of individual si~ng contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and 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 tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn,to before me this 1
~,~Q-~ay of ~4./Q [~ 2~
~ ~ No(ar'TPublic
Signatur'~ of Applicant
Claire L. Glew
~=ublic. State of NeW
[o 01GL4879505
:.d in Suffolk COUfl~,.:
:~t~, ,~ Expires Dec.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold. New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631 ) 765-1802
Fax (631 ) 765-9502
September 11, 2009
Dennis & Suzanne Heffeman
PO Box 464
Cutchogue, NY 11935
RE: 1200 Skunk Lane, Cutchogue
TO WHOM IT MAY CONCERN:
The following items are needed to complete your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
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.
Final Planning Board Approval.
Final Fire Inspection from Fire Marshal.
Final inspection from the Building Department.
Final Landmark Preservation approval.
Building Permit: 34989-Z swimming pool
JERRY $1A.htl
LORRY $CHULT
$ 52'49 28 W
N 86°35
O/L N.50.7'E.
17" MAPLE TREE
t/O/F
ELIZABETH FEI$S
RAIL FENCE
t
o
N
FOUND
CONC. MON.
8' 8' 8' r 8'
8' b
13-8' Plain Ponds (08.0~91
2-6' ~ I'~, (08-014)
I-4' Plaifl Fond (08-0161
1-90° Cm'r,e' Sel (08-020)
I?-Economy ~a(es (08-2101
l-$loeJ Ho~dvmre Iat (08-204)
1-20x46 ~oigh! Coping 6' Ilodius (
l-gO' (eping ~r Set (10.004)
I='tm'tl Line (~ opiim~s below)
6' Step- h~ve 2.(0~-0091
I-J08-Ol&J ,1' pa?ell hlsed 1-(01-(~616' slep
ad ?-108-01311 1reels,
~' Smep- ~ :~-108-0091
1-(08-01&) 4' pOndl lima I,(01
Re ,p,l~, ~ 4-8' plain panels (~0.0091
I-,8 skimmed' pend (08-Q11 )
2-Ill,let panels (08~101
I-l:
S-14:
NSPI TYPE III
TOPAZ STERLING STONETITE
(03-~05) (03-7051 (63-3051
NON DIVING UNERS
fl-6 (03-6431 I-8 (03-2431 S-I 4 (03-34.:"
8' $lnd Step (shJe) Remove
2400.009) 8' panel Insed
1400.~01) 8' deel step,
1-[08-013) 7' pend, 1-(08-1&7)
45°x1' h'JJ~ pend o~1
I-[0r168) 4' li~ poneL
1410-083) sled step coping
~l and I-(10.085) cepmg
c~ne~ set requked. See pnge 1.
8' S~ed Ste~'kfdl Ilernoye
2.(00-009) 8' peeels
I~g8-01614' pend. ktsed
J-(08-3011 B' stnd s~p.
2-(08-162) 4.S°x l'li~ ,nels.
2.(00.0151 S ponds aid
2-(08-2101 economy
1-(10.0831 steel step co~ng mi
ond 2-(10-08S) coping corner
sets required. S~e lmge I.
FRN'O05
1905
20' X 40'
RECTANGLE 6' RADIUS
IN-GROUND SWIMMING POOL WILL BE CONSTRUCTED OF STEEL WALLS SUPPORTING A
VINYL LINER THAT WILL HOLD APPROXIMATLY 35,000 GALLONS OF WATER.
FENCE WILL BE CHAIN LINK CONSTRUCTION, 4' HIGH WITH SELF CLOSING GATES THAT
WILL MEET TOWN CODES.