HomeMy WebLinkAbout35401-ZTown of Southold Annex
54375 Main Road
Sonthold, New York 11971
7/6/2011
CERTIFICATE OF OCCUPANCY
No: 35044 Date: 7/6/2011
THIS CERTIFIES that the building 1N GROUND POOL
Location of Property: 1110 Orchard Street, Orient,
SCTM #: 473889 Sec/Block/Lot: 25.-4-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/5/2010 pursuant to which Building Permit No. 35401 dated 3/18/2010
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
Logan, Joseph & Walker, Kelley
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
134032 9/3/10
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. 35401 Z Date MARCH 18, 2010
Permission is hereby granted to:
J LOGAN & K WALKER
1110 ORCHARD ST
ORIENT,NY
for :
INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REAR YARD,
FENCED TO CODE
at premises located at 1110 ORCHARD ST ORIENT
County Tax Map No. 473889 Section 025 Block 0004 Lot NO. 010
pursuant to application dated MARCH 5, 2010 and approved by the
Building Inspector to expire on SEPTEMBER 18, 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 OO
Ibis applicatkm nmst be filled in by typc~vriter or ink and submitted to the Buildin
A~ Vm- ,ew bnildiug or new use:
Il
TOY~N OF SOUTHOLD
Hnal snrvey of property with accurate location of all buildings, property lines, streets, and unusual natural or
Iopographic features.
2.Final Approval from ttealth Dept. of water supply aad sewerage-disposal (S-9 fbrm).
3.Approval of electrical installation from Board of Fire Underwriters.
4.Sworn statement fi'om phunber certifying that thc solder' used in system contaius less than 2/10 of I% lead.
5. Commercial bnilding, industrial bnilding, 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 reqoirements.
B. For existiug buildings (prior to April 9, 1957) non-conlbrming uses, or buildings and '¥re-existing' land uses:
l. Accurate survey of property showing all property lines, streets, building and unnsual natural or topographic
featnres.
2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is
denied, the Bnilding Inspector shall state the reasons therefor in writing to the applicant.
C, Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.(10, Additkms to accessory building $25.00, Businesses $50.00.
2. Certificate oFOccupancy on Pre-existing Building- $I00.00
3. Copy of Certificate of Occupancy- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of' Occupaucy -. Residential $15.00, Commercial $15.00
New (?oustructioo: / Old or Pre-existiug Building: (check one)
I louse No. Street 1 lamlel
Saffblk County Tax Map No 1000, Section ~.~S~) ........ Block
._
Suhdivisioa ......................... Filed Map. Lot:
1 Icalth Dept, Approval: Unde~riters Approval:
Plmming Board Approwd:
Rcqnest for: Tempm'ary Certificate ..... F hal Certificate:
", (check one)
Jun 2211 12:17~ EISLon~ll$~and Corn
Sec'lien:
Electrical Inspection Certificate
Joseph Logan - Kelly Walker
Orhmt Z~p; 119~1 Taw~; ~outlto~l
~emann E~lc Inc. iL) Lic. ~: 4t4t
Appian Number
'134032
i~
Other Equipment
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE&CHIMNEY [ ] FIRESA,.g[~flNSPECTION
[ ] RRE REgST~!' C0.S~ [ ] RRE .ESb'TJ~' ~F..E'rRA'~10.
REMARKS:
DATE / /~-~ -/~) INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~SUL~ATION
[ ] FRAMING / STRAPPING [ ~NAL/~'
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] I:II~BESlST.~rr~ [ ] FIIIEIIE~'TA#tI~iETBATIO.
REMARKS:
INSPECTOR
DATE ~-~.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ I,,,]"FI NAL
[ ] FIRE SAFETY INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[]ELECTRICAL (ROU~;~) ,,... ! ~,] ~ELE~'R~AL (FINAL)
REMARKS:__ ~
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INS~UL~~
[ ] FRAMING/STRAPPING [ ~/FINAI~ t ~ ~-~ ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SANCTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: /--~ <-~f<~ ~P~/~
///INSPECTOR~
F~L~SPF~:~'~0Na~eOaT DAr~ [ co~wNrs ~j~
l~Ot~A~IO~ (lS~ ~
~O~r~O~ (2~) ~ ~
' ROUGH~G& ~
PL~G ~.
STA~ E~ CODE
~D~ION~ COUNTS 0
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
Examined 3//~ , 20 i O
Approved 3/15,20 / O
/
Disapproved a/c
Expiration q//~, 20 [ f
PERMIT NO.
Building Inspector
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
planmng Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Stom~-Water Assessment Form
Contact:
Mail to:
Phone:
APPLICATION FOR BUILDING PERMIT
Date
,20 lO
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 Pemfit 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 inspectors on premises and in building for necessary inspections.
· k;~ , "~ ~; 0~ (S~gnalur~ applicant or name, ifa corporation)
UNDERWRITERS CERTI;I Ah ', ..... (Mailing, ofapplic t)
EOmE : CERTIFICATE - ad~es, ' '
State whe~er app]ic~t is owner, lessee, ~ge~t, ~c~t?C~¢ ~i~¢r, g¢~a] co~tractor, d¢ctfici~, pi~b~r or builder
Name of owner of premises ~, ~1~ ~t'' ~ ~/~_
~ (As on the t~ roll or%test ~d) ~. . ~
Ifapplic~t is a co~oration, si~ature of duly authorized officer N~/I~[~]~??? ~ (~,~'~, F ~i~
(Name and title of corporate ffiflI:' D AII:L¥"
ENCLOSE POOL TO CODE
Builders License No. I ipr~ ,,-,-,.,., ..,- ....
Plumbers License No. BEFORE "WATER"
Electricians License No.
Other Trade s License No.
l. Lof} n_ f .work will be done:
House Number Street
County Tax Map No. 1000 Section~-,}
Subdivision
Block
Filed Map No.
ALL CO,~,._c.'', :~,:,' ::* .~r_~:- -- c
,L~ .¢ ~,~,,~ F FOR
Ha~iGN OR ,-": ,~ ,' "*
Lot tO
Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy ~[ .~(_-_~- ~f ~[[t~-~-~[~l~L~l~
b. Intended use and occupancy
Nature of work (check which applicable): New Building
Repair Removal Demolition
Estimated Cos~
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Other Work
(Description)
(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 Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ~& ,~ Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. co_° . e th
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 /
13. Will lot be re-graded? YES NO~_Will excess fill be removed f~om premises? YES__ NO
Nme of Architect ~[ ~ ~ Address~~o~~
Nme of Contractor ~ ~1~/ Address Phone No.~~ ~
15 a. Is this prope~y within 100 feet of a tid~ wet]~d or a ~eshwater wetl~d? *YES NO ~
* IF YES, SOUTHOLD TO~ TRUSTEES & D.E.C. PE~ITS MAY BE REQUIRED.
b. Is this prope~y within 300 feet of a tidal wetl~d? * 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.
18. Are there any covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
NO ~
STATE OF NEW YORK)
SS:
COUNTY OF )
~_,~,~ ~l[~l~;~,, being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing 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 tp before me this
~'~'- dayof '~QO.A~'~ 20 ~c~
Notary Public
LAUREN M. ~ANDISH
Notary Public, State of New York
~ 01ST6164008
i.~!~a~/ied Irt Suffo!~ County .././
-~'~~Applica~t
M E R Y L K R A M E R
February 7, 2011
Ms. Connie Bunch
Southold Town Building Dept.
Southold Town Hall
PO Box 1179
Southold, NY 11971
BLDG. DEPT.
TOWN OF SOUTHOEO
RE:
Logan Walker Residence
SCTM# 1000-25-04-10
Property Location: 1110 Orchard St., Orient, NY
Dear Connie,
I am applying for the Certificate of Occupancy for above mentioned project. We are applying for
swimming pool and the accessory structure. Enclosed please find the following items:
1. Two checks, each for $50.
2. Two application forms
3. Signed Consent to Inspection form
I understand that you already have the underwriter's certificate and the lead certificate that
were provided by the contractor, and that Damon Rallis will be furnishing the Certificate of
Appropriateness from the Historic Preservation Com mission. I will be sending the final survey
and the final SCDHS approval under separate cover.
If you have any questions, please do not hesitate to call me.
Sinl~erely,
Meryl KY-a/ruer, AIA LEED AP
cc: Joseph Logan and Kelley Walker
218 FRONT STREET PO BOX 683 GREENPORT, NY 11944 631-477-8736 WWW.MKARCHITECT.COM
8 CORPORATE CENTER DR, 3RD FLR, MELVILLE, NEW YORK .1'1747-3129
Phone: (631) 756-4300
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
MICHAEL ZUHOSKI & JACK STEINER
DIB/A S & Z BUILERS
2780 DUCK POND RD P O BOX 722
CUTCHOGUE NY 11935
POLICYHOLDER
MICHAEL ZUHOSKI & JACK STEINER
D/B/A S & Z BUILERS
2780 DUCK POND RD P O BOX 722
CUTCHOGUE NY 11935
CERTIFICATE HOLDER
THE TOWN OF SOUTHOLD
BLDG DEPT PO BOX 1179
54375 ROUTE 25
SOUTHOLD NY 11971
POLICY NUMBER I CERTIFICATE NUMBER 'l'--'~Rm~(~l~ COVERED BY~I-IIS CERTIFICATE ~ -[~ATE ......
.......... !._1_0_2]_9_ !?-~3 ....... ~_ ..... 7999~91 __ . 1 09/29/2009 TO 09/29/2010 / 3/10/2010
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 1021 910-3 UNTIL 09/29/2010, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER
FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW.
IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 09/29/2010 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE,
30 DAYS WRITI'EN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE.
NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLYANDCONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STATE INSURANCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
This certificate can be validated on our web site at https:llwww.nysif.comlcertJcertvaLasp or by calling (888) 875-5790
VALIDATION NUMBER: 664840226
U-26.3
.... · ORCHARD STREET
E
-.%
L
SURVEY OF PROPERTY
SITUATED AT
ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S,O. TAX No. 1000-25-04-10
SCALE 1"=20'
SEPTEMBER 18, 2007
Nathan Taft Corwin III
Land Surveyor
GENERAL NOTES
A
SCHEMATIC PIPING ARRANGMENT
SECTION
WALL
SECTION
W&TER LI#[
PLAN
UtlalL W&TEI~ LiNErL P~'"~''
/--;_:,°;;h.. j
SECTION B- B
11 Wooded Lane / PO Box 1033 Hampton Bays, NY 11946
(631) 728-1777