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Home My WebLink About14440-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15433 Date December 2 ................................................. ,19.86.. THIS CERTIFIES that the building . .I.n.g.r.o.u.n..d..s.w. J:..ra~..~.n.~r. p.o.o. 1. .................... Location of Property .. ~.55.5...Y.O.U.N..G.S..A.V..E.N.U.E. .............. .S.O.U.T..H.O.L.D. ........ : ....-.-. House No. Street Hamlet County Tax Map No. 1000 Section .. 0.6.3 ....... Block ... 93 .......... Lot....0.2.8...&...0.2.9.... Subdivision..F..O.U.N.D.E..R.S..V.I..L.L.A.G.E. .......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ....... .O.qt.:..2.9. ..... , 1,.9.8..5 pursuant to which Building Permit No.. 1.444 0g ............. dated ...N.o.v. :..2.6. ................. 19 355, 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 ......... · poo The certificate is issued to ...... LIgDA ./31zAI~T .Y..LTD. of the aforesaid building. Suffolk County Department of Health Approval ........ 17/P~ .............................. UNDERWRITERS CERTIFICATE NO ................ I7.7.7.1. 4 ¢.5 .......................... Rev. 1/81 ilding Inspector rOB. M NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEP,~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14440 Z Permission is hereby granted to: ~3~- ~ ~'~ ...... ~/.~o~..~ ............ ~.....Zz~ ......... .~.~.~..~... ~.~. ~ = , , · , ......... .~ .....~.~....~... .......... '.o.~.~ ..c~.~ .........../..~ ~ /Ir premises located at ..... .~..~... ~..~..~.......]~..~..~.:~,~.....~.~ ................................. ............. ................................................................................................................... _~.~.~.~..:..~:.~ County Tax Map No. 1000 Section .... .,.~..~.....-~.. .... Block .....~.../. .......... Lot No. (~....~....~....~...~-~ pursuant to application dated ....Q..C~..Z.......~..~.. ...................... , 19..~...~.Tand approved by the Building Inspector. Building Instructor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mm to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and sYrnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 New Building . .X ........... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .9Q,I..%. C,~.,,,,,ou,s.e. 25,5.5. Yo~ng$. Av. ez3t~D.,.$O~;tho ld .............. House No. Street Ham/et Owner or Owners of Property .Liz~.a. Realty. Ltd ........................................ County Tax Map No. 1000 Section .0.63 ........... Block . 002. .......... Lot. 2B..~. 2,9 ....... Subdivision..Eoun~lers..V. il la~.e ............ Filed Map No ........... Lot No .............. Permit No. I .c/.~.~.0 .~--.. Date of Permit ('f~. ~.~...Applicant. L.tzda. X~al~t[;..Ltd ............... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~...77 .......... ~ ~" ... ...... .Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Kostrewski Rev. 10-10-78 Project Director .ooo 35 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ SE~telaber 26, 19~'5 JOHN STREET, NEW YORK. NEW4~38 N 771425 THIS CE~IFIES THAT o~ t~ e~tr~ ~ulpment ~ ~sc~ ~ m~ int~uc~ by t~ ~p~n t ~m~ on the a~ ap~i~t~ numar ~n the p~m~s of Fo~s V~ll~e~ Yo~s Av~ue, S. of ~le ~d, e/s of ~i1~ A~,~ld,N.Y ~ outside ~s examln~ on and found to be in compliance u'ith the requlre.~enls qf this Board. 19 11 6 1G DRYERS FURNACE MOTORS Wat~ Heaters: 1-, RXTURES RANGES &MT K W. SPECIAL REC'PT S E R COOKING DECKS OVENS t DISH WASHERS TIME CLOCK/0,,f BELL ~UNIT HEATERS MULTI-OUTLET V I C 2/0 1 DIMMERS 2/0 Motors: 1-1}hp 1-15.0kw Heat p.m_~ 1-2~Ton AC Unit 1-G.F.C.I. (Sw~-m~ng Pool) This certificate covers com~liance at the da~e of inspection ~ec&u~e of ~u%u~al environments it is advisable to have frequent teEt an~/o~ repairs ma~e by a ~ualifted ~erson. North Shore Electric Contractors ~nc. 141 Central Avenue onl E. Farmingdals,N.Y 11735 Lic#160E , 11 certificate mint not be altered in any manner; return to ,~ ~ice of the ~ard iJ incorrect. Inspectors may ~ identified by their crede~ls. E~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY ~NHER. FIELD IN~FEC?ION IDATE COMMENTS FOUNDATION ~ (___l~t)__~ FOUNDATION (2nd) . ROUGH FRAME & FLUMBiNG INSULATION ?ER N. Y. STATE ENERGY ~DE ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ', TEL.: 765-1802 Examined././;~. · ...... ,1~,-<~. ~ Approved .((~. · .~.. ....... ,1~..TPermit No./.~. · .~. .~. .0. .e~ Disapproved a/c .......... ~ ........ .~ ......... . (Building Inspector) APPLICATION FOR BUILDING PERMIT ,rq f)G DEPT. TOI/,'K, ()f SOUTHOLD ,, Received ........... ,19... Date .Q~ober .2.9. ........ 198.5.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit sball 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 inspectors on premises and in building for necessary inspections. · .~.z.O.a..a.e.a).~y. he.cl... ........................... (Signature of applicant, or name, if a corporation) · .2.5.5.5. .Yp.u:n..cj.a..fi:v?...,...Sp.u.t.h.o.l.d. .................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... ......................................................................... Name of owner of premises .. ~ ,hi,ada ,Ro_~l.t~y. ~%~ ....................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. C~ (Name and title of corporate officer) Gary S. Kostrewski, Project Director Builder's License No. --- Plumber's License No ..... %%-. ................. Electrician's License No...-.-:'. ......... i ....... Other Trade's License No..-.-.% ................. 1. Location of land on which proposed work will be done. . ?p.uB¢.e.r.s. y~.l.l.ag.% ............................... ...... 3.5.5.5 .................. .~.o.ur,_. 9'.s..Ay.er,...u.e .................... .Sou.tho.id ........................ House Number Street Hamlet County Tax Map No. 1000 Section .... 0.6.3. ........... Block . .1 ................ Lot .2.8...&. 2.9 ........... Subdi is]on. 3*D. ur~d.er,~. 53_. /~c3e ................... Filed Map No ............... Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...v.a.c..an..K ............................................................ b. Intended use and occupancy . .2.Q'..x..4.Q'..s.w.'..nXt~_.'.n.cI ..Iz~o..1 ............................................ 3. Nature of work (check which applicable): New Building . 3.-.-.'. .... Addition --- Alteration --- Repair .... .-. ........ Removal ...-~-,.~ ........ Demolition ...'."- Other Work pool (Description) 4. Estimated Cost ..... SLS,.SQ~l ........................... Fee ............................ ~' (to be paid on f'fling this application) 5. If dwelling, number of dwelling units .... ':'r: ........ Number of dwelling units on each floor If garage, number of cars --- 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 ofantire new construction: Front ............... Rear .... ~ ....... Depth ............... Height ............... Number of Stories ..... -~ ..... Size oflot: Front ..$ee.pl. ot.p~.i~x', ....... Rear : :~-~ .... ' ...... Date of Purchase ...l~lO~'~Izt. !,9Oz} ................. Name of Former Owner . .A.h~.~:~ ..................... Zone or use district in which premises are situated ...... ~-:1. ............. Does proposed construction violate any zoning law, ordinance or regulation: . .No ............................ 3. Will lot be regraded .... yas ..................... Will excess fill be removed from premises: Yes i. Name of Owner of premises ~gz.~t~3.R.¢a.l.t.y .... Address 2555 YOUNGS AVE Phone N~ 765-5452 Name of Architect P.a.u. 1. ~..~.c~Jr.e..r~ P...E. '"Address ~6fi '£~A6 'fid; 'fi5dbt Phone 5 6; 66 ....... Name of Contractor .~ame .~tO .~x~9.~r... ' ......... Address'' i i'~'~'} i i i i i i i i i i i i Phone N~i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from :'operty lines. Give street and block number or description according to deed, and show street names and indicate whether .terior or corner lot~ SEE A~ACHED PLOT PLAN ATE OF NEW YORK, ~UNTY OF ................. S.S ............................................... being duly sworn, deposes and says that he is the applicant .(Name of individual signing contract) names. is the C~rporate Officer (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be performe~ in the manner set forth in the application filed t,,herewith. ~orn to before me this ......... -~. · .~. ........ dayof .... .~....a:Pr ..... , 19 .~..~- ~tary Public, ~....~....~..~. ~.o~.. ......... County ~0~ti~lg.~ L/~,~ .... -~ ( 'gnature of aPplicant) DEPARTMENT OF HEALTH SERVICES COUNTY OF SUFFOLK PETER F. COHALAN SUFFOLK COUNTY EXECUTIVE October 10, 1985 DAVID HARRIS. M.D.. M.P.H. Mr. Paul A. Wtngler, P.E. Consulting Engineer 471 Town Line Road Hauppauge, NY 11788-2825 Dear Mr. Wingler: SUBJECT: SWIMMING POOLs. FOUNDERS VILLAGE, SOUTHOLD, N.Y. This office has reviewed the swimming pool plans you recently submitted for the above referenced pool and finds them in conformance with the Suffolk County swimming pool standards, specifications and guidelines. Enclosed are two copies of each of the following items: 1. "Certificate of Approval of Plans for the Construction or Change of an Artificial Swimming Pool." 2. Approved plan sheets 1 and 2. 3. Approved form Gen. 134R (Engineering Report for Swimming Pool Plans). After construction has progressed to the point that the piping has been completed in accordance with the approved plans, an inspection by this office must be done before backfilling can begin. This inspection can be arranged by calling me or James Whitney at tel: (516) 348-2897. Groundwater Resources Section RM/jb Enclosures cc: Mr. George Alliegro~ Lizda Realty 2555 Youngs Avenue Southold, NY 11971 PoSo The review fee of $100 has not yet been submitted. Please submit as soon as possible. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WATER RESOURCES 225 RABRO DRIVE EAST HAUPPAUGE, NEW YORK 11788 CERTIFICATE OF APPROVAL OF PLANS FOR THE CONSTRUCTION OR OLANGE OF AN ARTIFICIAL SWIMMING POOL A,opltcatton having been duly mede to the Suffolk County Department of Health Services, as provided under Chapter I, Part 6, of the New York State Sanitary Code, for the approval of plans for swimming pool at Founders Village, Southold** a.re granted to Llzda Realt7 . subject to the following conditions: (George Alliegro, Vice President, Paul A. Wlngler, P.E., Consulting Engineer) I. THAT the proposed artificial swimming pool and treatment equlp~e, nt shown on the plans and specifications approved this Day shall be fully constructed and installed in cm~lete conformity with such plans and specifications or approved amendments thereto. II. THAT the engineer of record shall inform the Department 48 hours in advance for the purposes of making a Joint, as built· pipe inspection. III. ll4AT the engineer.of record shall inform the Department 48 hours in advance for the purposes of making a joint· final inspection to ascertain conformance to the approved plans. IV. THAT the owner or operator will not open the swimming pool until a certificate of compliance has been received. V. THAT the swimming pool shall be operated at all times to conform with the requirements of Part 6 and the criteria for operation of a swimming pool and to the satisfaction of the permit tssutng officer. VI. THAT if any interruptions tn treatment or other conditions occur which may affect the sanitary quality of the water in the pool, the pool shall be promptly closed and not reopened until authorization is received from the permit issuing **Founders Village Copies to: Paul A. Wtngler, P.E., Consulting Engineer 2555 Youngs Avenue Southold, N.Y. George Alliegro, Lizda Realty Building Department, Town of Southold October 10 19 85 Richard Mar~el, P.E. Groundwater Resources Section, SCDHS NEW YORK STATE DEPARTMENT OF HEALTH Lizda Realty (Check 4me) New ~el ~ IINGINFFRING REPORT FOR SWIMMING POOL. PLANS Hlme If Peel ICIfy,Tew.,Villepe IC~mly ~ete ~ounder. V~t~a~e ~ SouChotd ~Suffotk S-8-8~ t Othee (deecrlbe) 28, 700 28 · 2S ?ublic Public ?ublic 2S GPM Nope oPM Yes [] No IX] I" sch. 40 F.V.C. pipe I" fill spout vlth 6" ai.r ~.k,Hayvard ~del w SP - 2615/-Z gv-, 60 Sch. ~0 P.V.C. v,leci~ ' ~'~ ~"~ '" I POOL WASTE DRAIN .... ga~ard 2 Perimeter 3"-2"- HAIR CATCHER YACU~ CLEANER 2" 6" 8" FILTERS Type laeke Ne. I Fitter medivm Amc each filter Tetel efee Hi-Rate Sa~ Pat-Fab TRI~] Sa~ ~xl_gg,~- ~.9 ,.~. 4.9 sq. ft. ~= IZ.~ ~,.~ ~=~e~.'~. 2-~" Dia. ~-- Mec~Matic ~P uClaC~c None None Acid Roll-A-Chem q2--C-:~~° ~ Ge.. 134R (,er. 11/70) -----"--'--'--'' WO/4Eg /4EH I Nh..,, ~doors-for use b~ both sexes I - ~ook chain end 6' b~a~ds l Exhaust fan UNDERWATER LIGHTS OECK Me, del · /40. M~e Model A,es NO ft. THE PRECEDING I~EMS OF THIS FORM ARE INTENDED TO INCLUDE FEATURES PERTINENT TO THE DESIGN AND OPERATION OF A SWIMMING POOL. THE FORM SHOULD BE USED TO SUPPLEMENT THE NARRATIVE REPORT OF THE ENGINEER OR ARCHITECT IN THETRAN~ITTAL OF PLANS TO THE HEALTH DEPARTMENT. Town Line Roa4 t5161 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WATER RESOURCES 225 RABRO DRIVE EAST HAUPPAUGE, NEW YORK 11788 CERTIFICATE OF APPROVAL OF PLANS FOR THE CONSTRUCTION OR CHANGE OF AN ARTIFICIAL SWIMMING POOL Application having been duly mede to the Suffolk County Department of Health Services, as provided under Chapter I, Part 6, of the New York State Sanitary Code, for the approval of plans for swLmming pool at Founders Village, Southold** a~ grante,d..to ,T,izda R_ealty . subject to the following conditions: t~eorge Al£zegro, Vice ~resident, Paul A. Wingler, P.E., Consulting Engineer) I. THAT the Proposed artificial swt~mtng pool and treatment equipment shmm on the plans and specifications approved this day shall be fully constructed and installed in complete conformity with such plans and specifications or approved amendments thereto. II. THAT the engineer of record shall inform the Department 48 hours in advance for the purposes of making a Joint, as built, pipe inspection. III. THAT the engineer of record shall lnfom the Department 48 hours in advance for the purposes of making a Joint, final inspection to ascertain conformance to the appmved plans. IV. THAT the owner or operator will not open the swimming pool until a certificate of compliance has been received. V. THAT the swtantng pool shall be operated at all times to conform with the requirements of Part 6 and the criteria for operation of a swimming pool and to the satisfaction of the pemlt lssutng officer. VI. THAT if any interruptions in treatamnt or other conditions occur whtch may affect the sanitary quality of the water in the pool, the pool shall be promptly closed and not reopened until authorization is received from the permit issuing **Founders Village Copies to: Paul A. Wingler, P.E., Consulting Engineer- 2555 Youngs Avenue Southold, N.Y. George Alliegro, Lizda Realty Building Department, Town of Southold October 10 19 85 ~ ou water Kesources ~ectlon, SCDHS 6'1. 5, c R,Q : ® ~C,Nb ~ V,(': l ' llLO" \ PLAN NzfE -~'IDL 5POq'T% I"~VgR I..Ip ~, ~APBRO¥~D.,.~S NOTED ~654802 9 A~ TO g P~ FO~ THE ~OLLOWI~G INSPECTIOHS' ~. FOUNDATION - TWO REQUIRED I~. FOR pOURED CONCRETE ROUGH - FRAMING & PLUMBING ~. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPI ETE FOR C.O. ~LL CONSTRUCTION SHALL ~HE REQUIREME~S OF THE N.Y. ~ATE CONSTRU~ION & ~DES. NOT ~ESPONSI~LE ~IGN OR CONS~R~O~ REVISIONS ?00~ D~K ~ MALL O PTH ,,, ,/// // I / 1,5 .~? I.q- h I