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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