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HomeMy WebLinkAbout35171-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 4/1/2011 CERTIFICATE OF OCCUPANCY No: 34881 Date: 4/1/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: 1N GROUND POOL 1350 Robinson Lane, Peconic, NY 11958, Sec/Block/Lot: 98.-4-28.1 Filed Map No. conforms substantially to the Application for Building Permit heretofore 11/5/2009 pursuant to which Building Permit No. was issued, and conforms to all of the requirements of the applicable provisions of thc law. The occupancy for which this certificate is issued is: accessory in ground swimming pool with fence to code as applied for. Lot No. filed in this ofilced dated 35171 dated 11/23/2009 The certificate is issued to Bremner, Adam & Hubinsky, Tamara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 12112 1/12/10 FORM 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. 35171 Z Date NOVEMBER 23, 2009 Permission is hereby granted to: HUBINSKY & BREMNER 1350 ROBINSON PECONIC,NY for : CONSTRUCTION OF AI~ INGROUND SWIMMING POOL, IN THE REAR YARD, FENCED TO CODE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 098 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 1350 ROBINSON LA PECONIC Block 0004 Lot No. 028.001 5, 2009 and approved by the 23, 2011. Fee $ 250.00 Authorized 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 Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or 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. Sworn state~nent 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. 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. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, ~g pool $50.0~) Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Cemtlcate ot '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. ,2) / ~al, l~,l I I New Construction: Old or Pre-existing Building: Location of Property: } ~'~O House No. Owner or Owners of Property: '3'--'~. Suffolk County ]'ax Map No 1000, Section Subdivision Permit No. ,'~f ] --] / Health Dept. Approval: (check one) Hamlet Street Block Filed Map. DateofPennit. ][ /~)3 ]Oq Applicant: Lot Lot: Underwriters Approval: Planning Board Approval: Request Ibr: Temporary Certificate I'ee Submitted: $ 0~12~. o '0 Final Certificate: k,/~(check one) Applicant Signature + SUFFOLK BUREAU 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: Rough ~n Inspection Date: Application No.: Raymond Electrical 3anuary 12,2010 12112 Certificate No.: Final Inspection Date: Building Permit No.: 12112 3anuary12,2010 35171 County Tax Hap No.: 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: Tamara and Adam Hubinsky and Bremner Site Location: 1350 Robinson Lane, Peconic, NY 11958 Owner's Address (Jr different): L~l Residential [-~ Indoor [] Basement [] Service [] Shed [] Commercial ~ Outdoor [] First Floor ~ Pool [] Hottub [] New r-~ Renovation L~ Second Floor [] Attic ~ Garage ~ Addition ~ Survey Other: INVENTORY Single Phase Heat 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 1 AC Blower Range Recpt Flourescent Pumps 1-poo Transformer Appliances Dryer Recpt Emergency Time Clock 1 Disconnect Switches 2-poo Twist Lock Exit Fixtures TVSS GFCI Breaker 2 Heat Pump Elect~c Heat Pool Luminaire 1 Exhaust Fan Other Equipment: pool bonding, pool heater 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 Signature: ~~--~' License No.: $141ME Date Of Certificate: Jan 14,2010 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION .. []FRAMING/STRAPPING [~FI NA~/~-~ [ ] FIREPLACE&CHIMNEY [ ] FIRESA~,-~'INSPECTION [ ] FI~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE INSPECTOR FIli;IL~iNsPECTIoN R.~PORT{ DATE { 'COMMENTS FOUNDATION (lST) FO~ATION (2~) ROUGH F~G & pLume ~S~ATION PER N. Y. STATE E~RGY CODE , ~D~ION~ COUNTS 05-~5-©9;15:57 ; TOWN OF SOUTIilOLD , BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 S outh oldTown. Nor th Fork.net ~OV 5 2909 E .mTNO. 3QY/ FOR BUILDLNG PERMIT Date INSTRIJCTIONS 97448292 # ': 2 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, beforc applying'? Board of I4ealth h0 e: qqq- o 0 a. This; y tybewdter or in ink and submitted to thc Building Inspector with 4 ~ets of pla~%~i.c~ p o p an o scale. Fee a¢cord~g te schedule. )remlses, reIafionship to sdjolnmg premises or public ~treets or c. Tbe work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval &this application, the Building Inspector will issue a Building Pennlt 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 pail: £or any purpose what so ever unlil the Building h~speetor issues a Certificate of Occupancy. f. Every building pcrmil shall expire if thc work authorized has not commenced within 12 months alter linc date of issuance er bas not been completed within 18 months fi,om such date. If no zoning ameedments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, ~ writing, the *xtension of the permit for an addition six months. Thereatler, a new permit shall be required. APPLICATION I8 HEREBY MADE to the Building Dcpmtment for thc issuance of a Building Permit purmmnt to thc Building Zone Ordinance of the Town o I Somhold, SuffMk County, New York, and other applicable Laws, Ordinances Reguledo~, for the constv, mtion ol'buiJdings, additions, or alt e~-ations or For rome ~..1 or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code kd{~si}tg code m~d l~latJons, and to adm authorized htspector~ on prcmis*s and in building for necessm7 inspections. (Mailing addre~ efapplicanQ S ate wt et3~er appl cant s owner, lessee, agent, architect, engineer, general coutrnctor, electrician, plumbc~ or builder Namcofownerofpremise~}f~ fl/,LJgitl$/<~~' ~-~')-(~'L-g'~;~'~'~ .............. (As on the tax roll or latest deed) If applic.~t is s corporation, signature of duly authorized officer (Name mtd title of corporate officer) Builders LicenseNo. ~ I q lot t"[ Plumbers License No. Electricians License No. ~ I ~ I ~ Other Trade's License No. 1. Location of land o~w~ich proposed work will be done: _ ~%~(b KnhmXnn House Number ~ SO'eel Count ToxMa No 1000 Section ~)¢ Block Y P . ~ - ENCLOSE P L,i_,,~ ..., CODE UPON COMPLET!ON BEFORE "WATER" Hamlet ....... r ............. lot ALLCONST," ~ ~"":1 MEET THE REQ', OF ]'HE CODES OF N~: ~, ;ATE. UNDERWRITERS CERTIFICATE 4EOUIRED RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. 2. RJ,/:It rp. ':,- o , ...... 3. INSULATION 4. FtilAL- C~ ':',: : .... RE, Uh ~ ....... . ~.:, OF 7HE CODES OF ~¢d(S A,~. hut E::OqolB~E FOR DESIGN OR CONSTRUCTION ERRORS. O~ /5~09;15:57 ; 9 44~9z ; a i z 2, State existing use and occupancy of premises and intentf"eYi us@ and occupancy, e£ proposed construction: a. Exi~ting use and occupancy -_qmal,, ..['tir~tlca r'.t¢~,f~.m&o ,D ! ' I - 3, Nature of work (check wkich applicable); New Building/ Addition Alteration Repair Removal Demolition Other Work (D~cription) 4. Estimated Cos-t~l:~l~-.0(,~)-~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling m~its Number of dwelling units on each floor_ .................... If garage, number of cars ................................ 6. If businms, commercial or mixed occupm~cy, specify nature and extent of each type o f use. 7. Dimensions of exishng structures, if any: Front Rear Depth Height Number of Stories Dimensions of Same structure with alterations or additions: Front Depth Height_ Number of Stories 8 Dimensions of entire new construction: Front Height Number of Stories 9. Sizeoflot: Front Rear Depth Depth ............. I 0. Date of Purchase Name of Fom~er Owner l l, Zone or use district in which premises are situated 12. Does proposed construction violate.~y zomng law, ordinance or regulation? YES NO 13. Will lot be re-graded?'" YES....v(__/NO ..... Will excess flu be removed from premises? YES NO ~ 14. NamesofOwnerofpremis~s'~(/llJ0JjOlO~J~ddmss I~ ~),~)SOQ~PPhonel~T ........ Name of Architect ~ Address t l~ L~Vje.~k~ ~ Phone No ~'~' ........ NameofContractor[41. n'l,.Ij~ /~.ar~f~g/:?'-. Address t[Q/ ~;I{~ PhoneNo. r-lq -81t30 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetlanit? *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. ] 7. If elevation at any point on property is at 10 feet or below, must provide topographicai data on survey. 18. Are there any covenants and restrictions with respect to this property'? * YES ........ NO _ · IF YES, PROVIDE A COPY. STATE OF NEW YOiCK) SS: CO 0NTY~DF-. _~ .~ ~. ~~...._. berg duly sworn depos~ ~d says that (s)M is ~e apphc~ (Nme of ~vld[a/*i~ling conW~ct) above named, (S)He is the ~/ (Coneactur, Agar, Co¢orate Officer, etc.) of said o~c~ or o~mm, ~d is duly authofir~fl tO pcrfom or have peffomed thc 8ttid work and to ~c and file this application that all ~atements contained in this application are ~e to the best of~s ~owledge and belief; and ~at ~e work will be preformed in the mann~ set [ruth in O~e application filed therewith. KATHLEEN QUIGLEY NOTARY PUBLIC, State of New York NO. 01QU6124124 Qualifier in Suffolk County Commissio~ Expiees Apd125. 20J.~ ,~__.?£: :./_2,&~,~WN OF SOUTHOLD PROPERTY RECORD CARD 'NER STREET l ~) ~/~'~_,,) V~.~-AGE DIST. SUB. ~ , ~ '& ~,, /~ ~ /~ ~e, ~ .~"~ 0 S~S. VL FARM COMM. CB. MISC. ~ Mkt. Value AGE BUILDING CONDIT~N ¢7/q~-~//~ /~-~/~ RM Acre V~lue Per Value ' ' t t I ~ble 3 ~pland FRONTAGE ON WATER bland FRONTAGEON ROA~ l yJ ~,. / se Plot DEPTH 2 ~ ~-/~ BULKH~D ~ ' ~ ' DOCK ;OLOR iRIM 98.-4-28.1 4/07 ~.~e~f~v iew :'u' ZZ-- Floors ~ ~.,~ . -- ~,"~'~'""~" LR. /.~.~'~ ~ Interior Finish __ Heat ~./,~. ~ DR. ~ ~ooms 1st Floor BR. Rooms 2nd Floor FIN. B. ^. Bldg. /~, ~ ~ ~ ~ 7 .... E~tension /~ ~ ~ ~ ~re Place ]xtension ~ ~ ~ ~ ~orch d~ ~ ~ecreation Room ~reezew~y ~ ~ ~ ~ Tntnl ~JTHOLD PROPERTY RECORD CARD OWNER :RES. SEAS. LAND IMP. AGE NEW FARM Tillable Woodland Meadowla~d House Plot NORMAL Acre STREET N VL..~/I FARM TOTAL DATE BUILDING CONDITION BELOW ABOVE Value Per Value Acre VI LLAGE E W CO/~'M. CB. MICS. DIST. SUB. AC R..} ~ TYPE OF BUILDING Mkt. Value REMARKS / , FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD Total DOCK COLOR TRIM M. Bldg. Exteneion Extension Extension Foundation 3ath Dinette Porch Basement :loors Porch Breezeway Garage Ext. Walls Fire Place Type ROOf nterior Finish dear ).ooms 1st Floor DR. FBR. Patio Recreation Room ~ooms 2nd Floor FIN. B O.B. Dormer )rivewey Total ]OLOR FRIM 98.-4-28.1 Rear View 4/07 M. Bldg. Extension Floors III Yes EXEMPTIONS: A, Does this project meet the nm~imum standards fei classification as an Agricultural Projecl. Note: If you answered Yea to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required, ACTIONS REQUIRING THE SUBMISSION OF A STOKMqWATER~ GRADING~ DRAINAGE. & EROSION CONTROL FLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item. Number: (A Check Mark (,/) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? . ' (This wiI] include all rumoffcreated by site cleaiSng and/or constructmn activities as wail as all Site Improvements aud the permanent el eat/on of impe~-,,ious surfaces.) Will this project require any land filling, grading or excavation where there is a chauge to the natural existing grade involving more than 200 cabic yards of material within any parcel? Will this application require land disturbing aatixdties encompassing an area of five thousand (5,000) square feet of ground surface o~ mo~e? Is there a Natural Water course mrming through the site er is this Drojecl within One hundred (100) feet of wetlands or e beach? Will there be site preparation on slopes which exceed f~fteeu (15) feet of ve~ dcm dsc to One hundred (100)feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Stoi~n-Water Run-off into and/or in the direction cfa Town Pdght-of-Wey? 7. Will this application require'the placement of material, removal of vegetation and/or the construction of any item wKhm ~e Town Right-of-Way o~ ~oad sboulde~ alee? (This item does not Include the installation of driveway aprons.) 8 Wilt there be site p~epmatiou within the one hundred (100) year floodplain of any watelcourse? Note: If any answer to questions ~ne through eight is answered with a check mark in the Box, e Storm-water, Gradi~)g Drainage 8, Erosion Control Plan is required end must be submitled for review prior to issuance o¢ ~/Iry buildln~ peuoit. STATE OF NEW YORK, COUNT5' OF ss ~- / ~ being duly swon~, deposes and says that be/she is 1118 applicant fm Pemtil ~am¢ of individual si~ing Documenl) ~d that He/She is the C~a Ox~el actor representative of the O~mmr or Oxm~er's, and is duly acthorized to peKom~ o~ have perforated the said wed< and fo make and file this application; that all statements contained tn this application a*e m~e Io the besl of his knowledge and bel/e~; and that work sill be performed h~ the mamm~ set fo]Xl~ ~ the application filed he~ewhh S~vo]l] to before me this; Commission Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-181,)2 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 11, 2011 Adam Bremner & Tamara Hubinsky 440 W 23rd St, Apt D NewYork, NY 10011 RE: 1350 Robinson Lane, Peconic TWO 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 $50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Building Permit: 35171-Z swimming pool p~O LOT (~ SCDHS # ReL R10-10-0032 I am fomilier w#h the STAND~RDS FOR ~PPROV~L AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY R~SIDENC~S ond wis ~ide by the con~lion~ set forth therein ond on th~ permit 1o conslr~L 210.00' EL N. 77'2610 16.o % fl~ fir. EL 20.7 210.92' · O' W. -""'~' mo~l LjNK~:W~~o ~'-~l~: SYS)~n SEP1~ DwEL OFFICE OF THE SUFFOLK COUNTY CLERK ON OCT. 18~1961 AS MAP NO. ELEVATIONS ARE REFERENCED TO AN ASSUMED DA TUM AREA = 38,311 sq. ft. 17.0 3g. ~ The Iocotion$ ol wellg ond cesspools shown hereon are from field ol~$ervofion£ ond or from dele ~t~d Ir~ others. T~retore t~ ~cet~$ ~ o~ existence is not ~fee8. SUR VE Y OF PROPER TY A T INDIAN NECK- PECONIC TOWN OF SOUTHOLD SUFFOLK'COUNTY, N Y. 1000 - 98 - 04 - 28.1 Scale: 1" = 30' Mar. 29, 1994 May 20, 2010 (certifications) JULY 13, 2010 fB.O.H, blIo.) NOV. 4, 2010 (final) F~.~, ~ , CERTIFIED TO' ADAM BREMNER ~, TAMA. RA HUBINSKY FEfl I 0 '~.," 2 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF ~ECTION '~09 OF THE HEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7~09-SUBDIVISION ~. AL/.. CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY IF SAID MAP OR CO, ES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIC-NA TURE APPEARS HEREON. ~ 'f~F' '~' /%', \ PgCON~C' ~ORVgY~~' r516~ z65 - 5ozo ~%is~ z~- / zgz P.O. BOX 909 1230 TRAVELE~ STREET ~_/ ~ SOUTHOLD~ N.Y. 11971 DIVE. BD. H20 20' H20 CONC. FTG.- SEE DETAIL PLAN 18 x 40 Rectangle HANDRAIL 2" to 4" SAND BOTTOM SECTION A SCALE: 1/8" = l'q)" SECTION B SCALE: 1/8" = l'q)" PLUMBING SCHEMATIC RODS TYP 4' 20" WH ~UM PAD (4' WIDE MIN.) DIVING BOARD DETAIL WATER LINER AND CONCRETE FORM TIES 3500 F VINYL 2,, WALL SECTION NOTES 1. STRUOTURE IS DESIGNED FOR USE BELOW GRADE AND ONLY IN ABEAS WHERE THE GROUND WATER TABLE IS A MINIMUM OF 4'-8" BELOW THE PROPOSED FINISHED GRADE. 2. BACKFILL WITH CLEAN EARTH, FREE OF ROOTS AND DEBRIS. DO NOT ALLOW THE HEIGHT OF BACKFILL TO EXCEED THE HEIGHT OF THE WATER IN THE POOL BY MORE THAN 8", OR THE WATER TO EXCEED BACKFILL BY MORE THAN 3. PLACE CONCRETE ON SANDY TO LOAM SOIL. REMOVE ANY CLAY DEPOSIT AND cOMPACT CLEAN BACKFILL, 4. WALKS TO BE SMOOTH, NON SKID TYPE. SLOPED AWAY FROM POOL 5. WATER DISPOSAL SHALL BE LIMITED TO OWNERS PROPERTY TO SUIT LOCAL REGULATIONS 6. DIVING BOARD AND INSTALLATION TO CONFORM WITH ANSl/NSPI-5 1995 STANDARDS FOR RESIDENTIAL lNG ROUND SWIMMING POOLS FOR A TYPE II POOL. A) FRAMES ARE MADE OF 1.90" O.D, x .065 WALL. ALL BENDS ARE 6" RADIUS. FRAMES ARE DRILLED TO ACCOMMODATE 3/8"0 REINF. RODS. REAR STAND HAS 2) 9/16' HOLES DRILLED ON 12' CENTERS FOR D.B ANCHORING. S) coMpRESSIVE STRENGTH OF CONCRETE SLAB FOR DIVING BOARD TO BE 3500 PSI OR GREATER. 7. PROPERTY OWNER IS RESPONSIBLE TO INSTALL FENCE AROUND POOL IN AccoRDANCE WITH THE NYS BUILDING CODE, APPENDIX G, SECTION AG105, COPING & PATIO DONE BY OTHERS WATER LINE J J MIN, DIM. SECTION //~ MIN. DIM. SECTION //~ WATER LINE MIN. DIM. SECTION //~ OK ~ z [ 0 Scale: As Noted